Mansour AM, Arevalo JF, Al Kahtani E, Zegarra H, A randomised clinical trial comparing methotrexate andAbboud E, Anand R, et al. mycophenolate mofetil for noninfectious uveitisRole of intravitreal antivascular endothelial growth factor injections Ophthalmology. 2014 Oct;121(10):1863-70.for choroidal neovascularisation due to choroidal osteomaJ Ophthalmol. 2014;2014:210458. Kavitha S, Zebardast N, Palaniswamy K, Wojciechowski R, Chan ES, Friedman DS, et al.Selvam RM, Nithya R, Devi PN, Shree RSB, Nila MV, Family history is a strong risk factor for prevalent angle closure inDemonte NL, et al. a South Indian population([RSURWHRPH RI $VSHUJLOOXV ÁDYXV FRUQHDO LVRODWHV DQG Ophthalmology. 2014 Nov;121(11):2091-7.VDSURSK\WHV ,GHQWLÀFDWLRQ RI SURWHRIRUPV RI DQ RYHUVHFUHWHGalkaline protease Hornbeak DM, Payal A, Pistilli M, Biswas J, Ganesh SK,J Proteomics. 2015 Feb 6;115:23-35. Gupta V, et al. Interobserver agreement in clinical grading of vitreous haze usingManayath GJ, Namburi P, Periasamy S, Kale JA, alternative grading scalesNarendran V, Ganesh A. Ophthalmology. 2014 Aug;121(8):1643-8.A novel mutation in the NR2E3 gene associated with GoldmannFavre syndrome and vasoproliferative tumor of the retina Sun CQ, Lalitha P, Prajna NV, Karpagam R, Geetha M,Mol Vis. 2014;20:724-31. O’Brien KS, et al. Association between in vitro susceptibility to natamycin andLakshmi Priya J, Prajna L, Mohankumar V. voriconazole and clinical outcomes in fungal keratitisGenotypic and phenotypic characterisation of Pseudomonas Ophthalmology. 2014 Aug;121(8):1495-500.e1aeruginosa isolates from post-cataract endophthalmitis patientsMicrob Pathog. 2015 Jan; 78:67-73. Shah PK, Ramakrishnan M, Sadat B, Bachu S, Narendran V, Kalpana N.Dubey SK, Mahalaxmi N, Vijayalakshmi P, Long term refractive and structural outcome following laserSundaresan P. treatment for zone 1 aggressive posterior retinopathy of prematurityMutational analysis and genotype-phenotype correlations in Oman J Ophthalmol. 2014 Sep;7(3):116-9.southern Indian patients with sporadic and familial aniridiaMol Vis. 2015 Jan 27;21:88-97. eCollection 2015. Srinivasan M, Mascarenhas J, Rajaraman R, Ravindran M, Lalitha P, Ray KJ, et al.Rijal RK, Nakhwa C, Sindal MD. Visual recovery in treated bacterial keratitisCrystalline deposits in the macula - tamoxifen maculopathy or Ophthalmology. 2014 Jun;121(6):1310-1.macular telangiectasia?Nepal J Ophthalmol. 2014 Jul;6(12):227-9. Cunningham ET, Rathinam SR, Tugal-Tutkun I, Muccioli C, Zierhut MAung T, Ozaki M, Mizoguchi T, Allingham RR, Li Z, Vogt-Koyanagi-Harada diseaseHaripriya A, et al. 2FXO ,PPXQRO ,QÁDPP $XJA common variant mapping to CACNA1A is associated withsusceptibility to exfoliation syndrome Murugeswari P, Shukla D, Kim R, Namperumalsamy P,Nat Genet. 2015 Feb 23. [Epub] Stitt AW, Muthukkaruppan V. Angiogenic potential of vitreous from proliferative diabeticPriya A, Veena K, Thulasiraj R, Fredrick M, retinopathy and eales’ disease patientsVenkatesh R, Sengupta S, et al. PLoS ONE. 2014;9(10):e107551.Vision screening by teachers in southern Indian schools: testing anew all class teacher model Babu N, Shah PK, Narendran V, Kalpana N, Kim R.Ophthalmic Epidemiol. 2015 Feb;22(1):60-5. An easy method to raise the 25-gauge trocar and cannula system for retinopathy of prematurity-related lens-sparing vitrectomyCunningham ET Jr, Rathinam SR, Albini TA, Chee SP, Retina 2014 May;34(5):1014-5.Zierhut M.Tuberculous Uveitis Ganesh Babu TR, Sathishkumar R, Venkatesh R.2FXO ,PPXQRO ,QÁDPP )HE Retinal Nerve Fiber Layer Segmentation of OCT Images by Entropy MethodRathinam SR, Rao NA. Research J Pharmaceutical, Biological and ChemicalAnterior segment ischemia in viper bite Sciences.2014 Sep-Oct;5(5):1397.2FXO ,PPXQRO ,QÁDPP $SU Prabakar S, Porkumaran, Parag K Shah, Narendran V.Rathinam SR, Babu M, Thundikandy R, Kanakath A, Retinopathy of prematurity vessel and ridge parametersNardone N, Esterberg E, et al. measurement by unsupervised algorithm Research J Applied Sci. Eng Tech. 2014;7(17):3499-3513. 43
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LAICO till recently focused its energy and resources working essentially with non-for-profit eye hospitals. The rare requests from Government hospitals were accommodated as and when received. Recognising that governments are a significant provider of eye care in India and several other countries, LAICO opened up new relationships and opportunities. Governments also play a major role through enabling policies for effective eye care services and budgeting required resources for scaling. LAICO now works very closely with Centre for Innovation in Public Systems (CIPS) and has been engaging with many of the state governments in India. This year’s work at LAICO reflects this additional focus.Consultancy and Capacity Building 45
LAICO’s Consulting Hospitals: 2014-15 LAICO’s services were extended to 4 more hospitals in the last year thus taking the total number of partnering Hospitals supported by SoHum Foundation hospitals to 317 across the globe. Staff from these hospitals and other organisations were trained in1. PBMA P.E Tatya Patil Eye Hospital, Jalgaon, Maharashtra, India effective eye care delivery through several management2. Ispahani Islamia Eye Institute and Hospital, Jamalpur, Bangladesh courses. In the last year, 160 eye care professionals3. Bharatpur Eye Hospital, Bharatpur, Chitwan, Nepal attended these eye care management training4. Branch of Bharatpur Eye hospital at Thori, Nepal programmes.5. CARITAS Takeo Eye Hospital, Cambodia Under the Hilton Cataract Initiative to enhance Hospitals supported by Lavelle Fund Cataract Surgical Rate in sub-Saharan Africa, LAICO in collaboration with Johns Hopkins Bloomberg School of6. Deep Eye Care Foundation, Rangpur, Bangladesh 3XEOLF +HDOWK YLVLWHG ÀYH KRVSLWDOV LQ .HQ\D 1LJHULD7. Voluntary Association for Rural Development, Comilla, Bangladesh Zambia and Ethiopia from June 26 to July 9. At the end8. Chhattisgarh Eye Hospital, Raipur, Chhattisgarh, India of the visit, a review meeting was organised bringing9. Bansara Eye Hospital, Shillong, Meghalaya, India WRJHWKHU DOO WKH ÀYH SDUWQHU KRVSLWDOV WR FRPH XS ZLWK10.Ramakrishna Mission Sevashrama Eye Hospital, Muzaffarpur, Bihar, India concrete ideas for further development.11. DORD Eye Hospital, Daudnagar, Bihar, India12. Shija Eye Care Foundation, Imphal, Manipur, India LAICO initiated the Lavelle supported capacity13. BNSB Eye Hospital, Dinajpur, Bangladesh building project for 25 eye hospitals in the Indian subcontinent. Visits were made to eight eye hospitals in India and Bangladesh. Vision building workshops were conducted. As part of SoHum project to enable eye hospitals WR DFKLHYH RSHUDWLRQDO H[FHOOHQFH DQG ÀQDQFLDO VXVWDLQDELOLW\ /$,&2 SDUWQHUHG ZLWK ÀYH H\H KRVSLWDOV LQ ,QGLD %DQJODGHVK 1HSDO DQG &DPERGLD Enhancing Eye Care Services in China Vision in Practice (ViP) based in Shanghai, China has been functioning since 2012 with a goal to enhance eye care in the country by creating a successful eye care delivery model and demonstrate to eye care providers in China. Towards this goal, they approached eye hospitals and Aipu Eye Hospital was one among them. LAICO is the technical partner for ViP in this particular initiative. Dr. Frederick and Ms. Dhivya at Deep Eye Foundation, Bangladesh Hospitals supported through HCI1. Deseret Community Vision Institute, Eye Foundation, Lagos, Nigeria2. Fitsum Birhan Speciality Eye Clinic, Mekelle, Ethiopia3. Kitwe Central Hospital, Kitwe, Zambia4. Innovation Eye Centre, Kisii, Kenya5. Upper Hill Eye and Laser Centre, Nairobi, Kenya46
Dr. Dayakar Yadella and Ms. Sasipriya at Shija Eye Care Mr. Sanil Joseph on a needs assessment visit to DORD EyeFoundation, Manipur Hospital, Bihar The baseline details about the hospital were collected was approached by Seva to provide inputs towardsto understand the clinical services, infrastructure, developing an effective children’s eye screening model.human resources and performance for the recent past 2 Ms. Priya, Manager - Paediatric Ophthalmology\HDUV 1HHGV DVVHVVPHQW YLVLW ZDV PDGH LQ )HEUXDU\ Services, Aravind - Pondicherry along with a team from )ROORZLQJ WKLV D WHDP RI QLQH PHPEHUV IURP $LSX 6HYD &DQDGD YLVLWHG WKH JURXS RI 6$/)$ (\H +RVSLWDOVEye Hospital and ViP will attend the vision building and the University Hospital at Madagascar duringZRUNVKRS DW /$,&2 LQ WKH ÀUVW ZHHN RI $SULO January 9 - 23. During the visit, she trained the hospital staff to train school teachers to identify vision problemsTowards Developing Paediatric Eye Care Services in children and to conduct screening camps for schoolMadagascar, with 9.5 million children under the age children. She also did an evaluation of the paediatric andof 14, has only one paediatric ophthalmologist. Over general ophthalmology departments in these hospitals.400 children in the country are born with or developblindness due to cataract each year. Early intervention 0V 3UL\D YLVLWHG *HWD (\H +RVSLWDO 1HSDO GXULQJis critical to ensure good vision for life, but fewer than 1RYHPEHU WR GR D SLORW VWXG\ RQ VFKRRO FKLOGUHQ20% of the children receive the required treatment. VFUHHQLQJ DQG WUDLQHG WKH VWDII RQ WKH SURFHVV 1HFHVVDU\6HYD LQ SDUWQHUVKLS ZLWK .LOLPDQMDUR &HQWUH IRU recommendations were given to conduct school&RPPXQLW\ 2SKWKDOPRORJ\ .&&2 LV RQH RI WKH screening camps periodically and in a streamlinedlargest providers of eye care in the country. Aravind manner.Mr. Ganesh Babu and Dr. Madhu Shekhar at Aipu Eye Hospital, Ms. Priya with the team at Salfa Eye Hospital, MadagascarChina 47
Extending Support towards Establishing Vision engage themselves to provide safer health care for theCentres public. In spite of the advances in technology as well asIn India while many RI WKH VWDWHV KDYH HIÀFLHQW H\H NQRZOHGJH LQ PHGLFDO ÀHOG DQG SUHVHQFH RI GHGLFDWHGcare delivery systems, a few are struggling to meet the staff, evidence shows that things will and do go wronggrowing eye care demands of the people. There have in large volume organisations, sometimes harmingbeen requests from the Delhi Government to enhance the patients. Arranged in collaboration with Sevaeye care services in the capital region. Many of the states )RXQGDWLRQ DQG 2UELV IURP 2FWREHU DW /$,&2have expressed an interest to explore the tele-medicine these workshops brought together eye hospitals toenabled Vision Centres as a way to provide eye care in explore errors that commonly occur in eye hospitals.remote areas. In this context, Centre for Innovations Various patient safety strategies and techniques andin Public Systems (CIPS), Government of India invited models to measure patient satisfaction were discussed.Aravind to share its expertise and technical support It presented leading institutions that have successfullytowards establishing vision centres in the states of implemented these measures and actively used itJharkand, Madhya Pradesh and Uttarakhand. for continuous improvement. A total of 63 peopleMr. R.D. Thulasiraj, Executive Director, LAICO met participated in the workshop.with Mr. D. Chakrapani IAS, Director, CIPS and Chief6HFUHWDU\ DQG RWKHU VHQLRU RIÀFLDOV RI WKH *RYHUQPHQW RI Paradigms for Effective LeadershipJharkand to discuss establishment of Vision Centres atRanchi and other parts of Jharkhand. Leadership and governance play an important role in determining the way an organisation operates andOctober Summit 2014 LWV RXWFRPHV &RQVLGHULQJ WKLV VWURQJ LQÁXHQFH RI leadership in the performance of any organisation,Workshops on Patient Safety and Patient this workshop aimed at exploring the paradigms thatSatisfaction enhance the effectiveness of leaders and to discussPatient safety is an emerging Health care discipline, the ways to make leadership, a conscious effort. Heldwhere many Health care organisations proactively DW $UDYLQG 3RQGLFKHUU\ RQ 2FWREHU DQG LW ZDV DWWHQGHG E\ SDUWLFLSDQWV IURP &KLQD %DQJODGHVK Paraguay, Guatemala, Peru, USA and India.Participants to Workshops on Patient Safety and Patient Satisfaction48
Inauguration of the Workshop on Paradigms for Effective Leadership, participants to the sessionServing the Underserved Regions through District intervention model that could be deployed forPlanning 2.0 enhancing eye care delivery in the states of Assam, Tripura, Rajasthan, Chhattisgarh, Uttar Pradesh, OrissaIt is estimated that in India over six million cataract DQG .DUQDWDND 7KH SDUWLFLSDQWV LQFOXGHG PDMRU H\Hsurgeries are done annually, resulting in a Cataract care providers from these states, representatives fromSurgical Rate (CSR) of about 5,000. While such a CSR Ministry of Health, senior representatives from theis very impressive, especially amongst the developing 1DWLRQDO 3URJUDPPH IRU &RQWURO RI %OLQGQHVV 13&%countries, about half of the states and districts would Government of India and various states as well as headsbe performing less than this average, with some of RI ,1*2V DQG UHSUHVHQWDWLYHV IURP 9,6,21 the districts with very low performance. A more The workshop was held at LAICO from October 31 -serious implication of this is the fact that people in 1RYHPEHU DQG ZDV VSRQVRUHG E\ &,36 6LJKW6DYHUVthose districts, for no fault of theirs are denied the 9,6,21 ,QGLD DQG 6HYD )RXQGDWLRQ 86$eye care that they need. This workshop deliberated As part of the workshop, Dr. Jayanti S Ravi, a senioron the ground realities and practical challenges faced ,$6 RIÀFHU DQG /DERXU &RPPLVVLRQHU *RYHUQPHQW RIby underserved districts to develop an appropriateParticipants at the Workshop on Serving the Underserved Regions through District Planning 2.0 49
Seva Global Sight Initiative meeting at Aravind - PondicherryGujarat shared her thoughts on Dr. G. Venkataswamy, Teaching and Trainingthe founder of Aravind Eye Hospitals, through abeautiful blend of music and story-telling. /DFN RI TXDOLÀed management professionals often hinders the effective delivery of eye care in many parts ofSeva - Global Sight Initiative the world. To address this gap, LAICO regularly offers courses for various cadres of eye care professionals. TillSeva’s Global Sight Initiative plans to engage 100 eye date, close to 3,000 eye care professionals from aroundhospitals to perform at least one million additional 73 countries have been trained at LAICO.cataract surgeries annually within a sustainableframework by 2020. Towards this, Seva organised a AUROSIKSHA - Online Learning Resource for Eyemeeting at Aravind - Pondicherry on October 5 - 6 Care Personnelto meet and renew connection with members of Aravind’s online learning platform, Aurosiksha is beingthe GSI network. This meeting had 44 participants XWLOLVHG E\ XVHUV IURP $IULFD $VLD (XURSH 1RUWKfrom Seva partners in USA, India, Bangladesh, Egypt,*XDWHPDOD 1HSDO DQG 3HUX 7KH GLVFXVVLRQ DOVR KHOSHG Aurosiksha team preparing learning modulesdevelop clarity on the GSI goal and identify strategiesand actions to achieve it. As a follow up action, on)HEUXDU\ D SODQQLQJ PHHWLQJ ZDV KHOG DW /$,&2to develop action plans that would move LAICOforward in its mentoring efforts while contributing tothe overall GSI goal of 1 million additional surgeriesannually by 2020. The meeting reviewed the strategicplans of Aravind as a whole and determined how/$,&2·V PHQWRULQJ DFWLYLWLHV ÀW ZLWKLQ DQG UHODWH WRthe organisation’s broader strategy. The meeting alsoaimed to identify gaps and the required resources tostrengthen LAICO’s mentoring capacity, includingpotential funding sources.50
Ms. Sasipriya addressing the participants at PRISM 2014America, Australia and South America. In September Rajagopalan, Medical Director, Sundaram Medical2014, Vision Centre technicians of Government Eye )RXQGDWLRQ &KHQQDLHospital, Tripura were evaluated through online examsin Anatomy, Physiology, Pharmacology, Optics and Onsite TrainingRefraction. Monthly exams are conducted online for themarketing executives of Aurolab located in various parts Aravind was invited to run a two week instrumentsof India throughout the year. Aurosiksha is looking maintenance course at Jaramogi Oginga Odingaforward to launching the sessions as a teaching module 7HDFKLQJ DQG 5HIHUUDO +RVSLWDO .LVXPX .HQ\D GXULQJto augment effective learning. May 12 - 23 for Biomedical Engineers / Technicians ZRUNLQJ IRU WKH 0LQLVWU\ RI +HDOWK .HQ\D LQ GLIIHUHQWPRISM FRXQWLHV VSUHDG RYHU WKH FRXQWU\ )UHG +ROORZV )RXQGDWLRQ .HQ\D VSRQVRUHG WKH SURJUDPPHPRISM, the annual national conference organised by ZKLFK ZDV DWWHQGHG E\ ÀIWHHQ SDUWLFLSDQWV 3URI 9fellows in eye hospital management and managers 6ULQLYDVDQ 0U 3RRUQDFKDQGUDQ DQG 0V .DVWKXUL UDQacross the Aravind centres aims to provide new insights the programme. An instruments maintenance campinto hospital management for professionals and was held at Sabatia Eye Hospital where the traineesstudents in this sector through sharing of experiences were able to service many ophthalmic instruments. TheE\ SURIHVVLRQDOV IURP GLYHUVH ÀHOGV RI PHGLFLQH DQG highlight of the course was the commissioning of a newmanagement. While there has been an immense wave B-Scan unit that was a gift for one of the hospitals andof development in health care in terms of technologyand techniques, quite often, the focus of hospitals has Prof. V. Srinivasan, Mr. Poornachandran and Ms. Kasthuri atmoved away from affordable patient care. PRISM 2014 Jaramogi Oginga Odinga Teaching and Referral Hospital,held at Aravind - Coimbatore on April 12 - 13 focused Kisumu, Kenyaon health care that is accessible and affordable to theFRPPRQ PDQ $ WRWDO RI SDUWLFLSDQWV LQFOXGLQJGHOHJDWHV DWWHQGHG WKH FRQIHUHQFH 1RWDEOH VSHDNHUVLQFOXGHG 'U $VKZLQ 1DLN )RXQGHU DQG &(2 9DDWVDO\D+RVSLWDOV .DUQDWDND 0U 9LMD\EKDVNHU 6ULQLYDV +HDG3URFHVV &RQWURO /LIHVSULQJ 'U 1DYHHQ $VVRFLDWH 9LFH3UHVLGHQW 2SHUDWLRQV DW +&* %DQJDORUHDr. Junaid Rahman, Medical Superintendent,*RYHUQPHQW +RVSLWDO (UQDNXODP 'U .RPDO 3UDVDG&RQVXOWDQW 1HXURVXUJHRQ 1DUD\DQD +UXGD\DOD\D%DQJDORUH 'U 0DODWKL +HDG 0HGLFDO 6HUYLFHVManipal Hospital, Bangalore, Dr. Badari Datta, Head ofQuality at Baptist Hospital, Bangalore, and Dr. Arjun 51
Patient being trained to use low vision device at Aravind - Dr. Manish Tandon examining a neonate for ROPCoimbatorecould not be put into use for several months for want of aims to upgrade the existing low vision services tosome details. include vision rehabilitation. )ROORZLQJ DQ LQYLWDWLRQ IURP 2UELV ,QWHUQDWLRQDO DQ USAID Vision Screening Project in Children in theinstrument maintenance course of one week duration Age Group 0 - 6 Yearswas held at Ulaanbaatar, Mongolia from July 26 - 31. The two year USAID supported project commencedProf. V. Srinivasan and Poornachandran volunteered LQ )HEUXDU\ WR EXLOG VXVWDLQDEOH FDSDFLW\ DQGto run the programme along with the Orbis staff. The processes to effectively address the problem ofcourse was organised by the Ministry of Health and visual impairment and blindness among children)DPLO\ :HOIDUH *RYHUQPHQW RI 0RQJROLD $ WRWDO RI in the age group of 0 - 6 years in the service area ofparticipants attended the programme. Aravind - Pondicherry. The main objective is to reach 400,000 children in the age group of 0 - 6 years inProjects the three adjoining districts of Pondicherry through comprehensive eye screening and providing interventionLowvision Screening, Treatment and Service as required - preventive, curative (medical and surgical)Provision Project for Children in Coimbatore and rehabilitative in nature. Screening technologies,Supported by USAID such as plusoptiX S09 vision screener is used forThe prevalence of low vision is 1.05% in India. Only screening of very young children for early diagnosisabout 3% of all blind and visually impaired children here and treatment. The project also aims to improvehave access to basic low vision care. Early intervention awareness on paediatric eye problems among generalcould potentially minimise long-term permanent visual physicians, pre-school teachers, paediatricians as welldisability. Supported by USAID, Aravind - Coimbatore, as the community at large. It also aims to develophas initiated a two year project in December to a strong referral system at the grass root level byestablish a rehabilitation centre for children with low involving different stakeholders in the community andvision which will also provide early intervention and a community based model of providing eye care servicesappropriate referral to support services. The project to children below 6 years of age.aims to identify and refer children with low vision incommunities across Coimbatore through community USAID ROP Projectscreening and referral. During this screening process, Ensuring healthy eye and quality life in prematureLI FKLOGUHQ DUH LGHQWLÀHG ZLWK RWKHU WUHDWDEOH FDXVHV infants is a two year project started in December 2014 atof childhood blindness including refractive errors, the department in Aravind - Madurai with the supportamblyopia, cataract and strabismus, appropriate and of USAID. The project aims to develop a comprehensivesubsidised treatment will be offered. The project also Retinopathy of Prematurity (ROP) model that can be replicated in other setups. It aims to increase early52
detection of ROP through awareness creation among generous grant from Mr. Subroto Bagchi and his wife,different stakeholders, screening preterm babies for Ms. Susmita Bagchi, Aravind - Coimbatore has begun a523 LQ WKH JRYHUQPHQW DQG SULYDWH 1,&8V GHYHORSLQJ project to screen for ROP in the under served and rurala referral network system and building and improving areas by a trained technician (non-ophthalmologist)FDSDFLWLHV RI RSKWKDOPRORJLVWV DQG 1,&8 VWDII WKURXJK using a retinal camera. Babies with this blinding diseasetraining programmes, CMEs and IEC materials. The DUH LGHQWLÀHG UHDO WLPH E\ WUDQVPLWWLQJ UHWLQDO LPDJHVhospital has entered into a MoU with Government to a remote ROP expert (via broadband internet) andRajaji Hospital, Madurai to screen preterm babies in those who require treatment are referred immediatelyWKH 1,&8 DV ZHOO DV HVWDEOLVKHG FRQWDFWV ZLWK YDULRXV to the base hospital. If the child is too sick to travel,1,&8V LQ DQG DURXQG WKH FLW\ DQG VXEVHTXHQWO\ WZR prompt on site laser treatment would be done by theophthalmologists have been trained in ROP screening. 523 H[SHUW YLVLWLQJ WKH 1,&8 ZLWK SRUWDEOH GLRGH ODVHUClose to 230 babies were screened under the project within 3 days. The two-year project includes variousGXULQJ 'HFHPEHU 0DUFK 'U 1DJDPDQL stakeholders including paediatricians, gynaecologists,Beligere, Developmental Paediatrician, University of 1,&8V SK\VLFLDQV DQG UHWLQD VSHFLDOLVWVIllinois Medical Centre, Chicago was at Madurai towork closely with the Paediatric Ophthalmology and Universal Eye care and Comprehensive Eye CareVision Rehabilitation departments to study the general for a Million people: Using Technology and Visiondevelopmental milestones in babies who had treatment Centres as the foundation - Building a Scalablefor ROP and attending the hospital for follow up. Model in Tamil Nadu, IndiaRetinopathy of Prematurity Eradication - Save Our The SightSavers supported project is beingSight (ROPE-SOS) implemented in 15 Vision Centres covering a population of 1 million within the service area of Aravind - Madurai.India has the highest number of premature births in The objective is to design, develop and demonstratethe world. Currently, screening for Retinopathy of how Vision Centres can become an essential foundationPrematurity (ROP) and its management is happening for ensuring universal coverage and the reach of whichsporadically in the country. It is disheartening to see ZLOO VLJQLÀFDQWO\ HQKDQFH WKH FRPSOLDQFH WR WUHDWPHQWincreasing number of infants with stage 4 and 5 ROP and follow-up for speciality eye diseases such asbeing brought to Aravind Eye Hospital at which point, diabetic retinopathy, glaucoma, children’s eye ailments,it is beyond the scope of restoring the vision. With a corneal illnesses, low vision and visual impairment.USAID ROP project team with Dr. P. Vijayalakshmi and Dr. Nagamani Beligere 53
issued to students having refractive error. Trained eye KHDOWK ÀHOG ZRUNHUV LQ FORVH FRRUGLQDWLRQ ZLWK ORFDO YROXQWHHUV LQ WKH FRPPXQLW\ LGHQWLÀHG DQG UHIHUUHG children with low vision and other eye disorders WR 9LVLRQ &HQWUHV 7KHVH ÀHOG ZRUNHUV ZHUH DOVR instrumental in promoting eye donation. Special camps to identify refractive errors were also arranged.Diabetic retinopathy camp as part of Universal Eye Care project XOVA ProjectAs part of the project, a unique ID was created for Subsequent to receiving the Excellence inall patients visiting Vision Centres and an exclusive Ophthalmology Vision Award (XOVA) in 2012, thisIT based registry was developed for patients with project was initiated to improve teacher training modeldiabetes and glaucoma. A standard operating procedure in India to identify ocular defects among school childrenis being adopted to track patients for compliance to and involved screening of children in 400 schools fromtreatment and follow up. Close to 50 awareness creation six districts in and around Pondicherry in two years.programmes were conducted through which 5,095 In the last year, 3,576 teachers from 127 schools werepeople were oriented about eye diseases and importance WUDLQHG DQG FKLOGUHQ ZHUH VFUHHQHG E\ WKHVHof early detection and regular treatment. Close to 30 WHDFKHUV RI ZKRP ZHUH LGHQWLÀHG ZLWK SUREOHPVdiabetes and diabetic retinopathy screening camps were $IWHU WKH ÀQDO H[DPLQDWLRQ E\ WKH PHGLFDO WHDP conducted. FKLOGUHQ ZHUH FRQÀUPHG ZLWK YLVLRQ SUREOHPV $PRQJ them, 4,223 had refractive error and free spectacles were More than 30 glaucoma follow up camps were SURYLGHG WR FKLOGUHQarranged and patients were motivated to bring theirfamily members as well for glaucoma screening. 930 Health Services Researchschool teachers were trained to do preliminary eyescreening for students. The teachers screened around Research division at LAICO aims at building VWXGHQWV DQG DURXQG VWXGHQWV ZHUH the research capacity by facilitating training andfound to have eye defects. 1,103 pairs of spectacles were consultations on research designs and research methodology. Members of LAICO faculty are involved in various research projects in the realm of health services research. This contributes to LAICO’s goal to strengthen health services research in order to enhance eye care service delivery globally. A weekly journal club is being organised for LAICO staff and managers of the hospitals to nurture research interest among the staff.Participants to Research Methodology workshop54
Other Major EventsWellcome Trust - Sustaining Health DialoguemeetingMr. R.D. Thulasiraj attended Wellcome Trust -Sustaining Health Dialogue meeting on April 1 atLondon. As a follow up to this, he also participatedin a workshop in July to explore how knowledgeand technology can support the sustaining healthagenda which recognises the importance of social andenvironmental determinants of health.Stakeholders Meeting of Magrabi ICO Cameroon Mr. R.D. Thulasiraj and Mr. Ganesh Babu at DR and ROP ExpertEye Institute Group MeetingMr. R.D. Thulasiraj represented LAICO as a stakeholderat a meeting held in London on May 27 to discuss the healthy and away from hospital. A large team fromdevelopment of Magrabi ICO Cameroon Eye Institute. Camden Coalition had visited Aravind earlier to learnLAICO will be carrying out training, strategic planning from its cost effective processes. Mr. R.D. Thulasirajand putting place a lot of the systems for effective YLVLWHG WKHP IURP 2FWREHU WR XQGHUVWDQG WKHLUoperations. work better and learn from it. While there, he gave a talk to the students of the Cooper Medical School ofHealth Economics: Coming of Age Rowan University.Mr. Sanil Joseph attended a one day conference - Healtheconomics: Coming of age organised at the London School of VISION 2020 Primary Eye Care SymposiumHygiene and Tropical Medicine, London on June 12. Mr. R.D. Thulasiraj spoke on the role of primary eye care services at the symposium organised by Vision 2020 -Ross’ India Business Conference Sri Lanka at Colombo, Sri Lanka on December 19 - 20.Ms. Dhivya Ramasamy spoke at a panel discussion onHealth care in India at India Business Conference organised VISION 2015 Conclaveby Stephen M Ross Business School, University of Dr. Dipankar Datta and Mr. Mohammed GowthMichigan, Ann Arbor, USA on September 26. delivered guest lectures on the Role of Vision Centres in ensuring primary eye care DW 9,6,21 &RQFODYHCamden Coalition of Health Care Providers RUJDQLVHG E\ 3ROLR )RXQGDWLRQ $KPHGDEDG IURPCamden Coalition of Health Care Providers at January 2 - 3.Philadelphia, USA is doing very innovative work withthe very poor in the Camden County to keep them Presentation on Aravind Model at IIM - B 0V .0 6DVLSUL\D ZDV DW ,QGLDQ ,QVWLWXWH RIMs. Dhivya Ramasamy at Ross’ India Business Conference, Management - Bangalore to present the Aravind modelUniversity of Michigan at the Public Policy Programme for IAS and allied RIÀFHUV RQ )HEUXDU\ DR and ROP Expert Group Meeting Mr. R.D. Thulasiraj and Mr. Ganesh Babu participated LQ WKH ÀUVW PHHWLQJ RI WKH H[SHUW JURXS IRU PRQLWRULQJ and evaluation of diabetic retinopathy and Retinopathy of Prematurity programmes organised by Indian Institute of Public Health, Hyderabad on March 5. Frugal Innovation Forum 2015 Mr. R.D. Thulasiraj shared his thoughts on scaling XS IUXJDO VROXWLRQV LQ KHDOWK DW WKH )UXJDO ,QQRYDWLRQ )RUXP KRVWHG E\ %5$& 6RFLDO ,QQRYDWLRQ /DE during March 20 - 24 at Savar, Bangladesh. 55
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Modern research needs continuousup gradation of equipment andfacilities. Research activities at AMRFwere strengthened with variousmajor infrastructure developments.Triple Mass spectrometer facility wasimproved with the addition of severalsupporting equipment. This will go along way especially in biomarker andprotein profiling as well as quantitativeproteomics of eye diseases. Anotherfacility that has been augmented is theconfocal laser scanning microscopyfacility. Grants were received fromprivate donors that would greatly help intackling some of the long term researchproblems especially in the field ofdiabetic retinopathy. Research 57
Proteomics of Ocular Diseases Research scholars at work at the Proteomics DepartmentThe primary focus lies in understanding the pathology and retinal dystrophies) is high in Indian population.of eye diseases at the protein level. This understanding The department has given priority to study theis important to develop methods or markers that will mitochondrial genes involvement in the pathogenesisallow early diagnosis as well as in improving treatment of diabetic retinopathy and Leber’s Hereditary Opticespecially for fungal keratitis, diabetic retinopathy and Neuropathy (LHON). It has also taken steps toglaucoma. High-throughput proteomics approaches determine the levels of cytokines in the aqueous humourwere employed to carry out large-scale comprehensive of primary angle closure glaucoma patients. In addition,VWXGLHV RI VSHFLÀF SURWHRPHV WKDW LQFOXGH LQIRUPDWLRQ the role of recently reported candidate genes of primaryon protein abundances, their variations and open angle glaucoma is being studied to understand thePRGLÀFDWLRQV WKHLU LQWHUDFWLQJ SDUWQHUV DQG WKH pathogenesis.networks they are involved in. A state-of-the-art MassSpectrometry facility has been established that allows The department successfully demonstrated theSURÀOLQJ FRPSOH[ SURWHRPHV LQ WKH GLVFRYHU\ SKDVH usefulness of its new strategy for rapid and cost-studies when the proteins that have the potential to be HIIHFWLYH JHQHWLF WHVWLQJ RI UHWLQREODVWRPD 1H[Wused as biomarkers are shortlisted. These proteins willbe validated across a large number of samples duringthe validation phase. Research is further complementedby studies at the genome and transcriptome level. A cellculture facility also has been established where cell linesare used as a model system to test hypothesis.Molecular GeneticsThe department is currently working on moleculargenetics of various eye diseases. Prevalence of theseeye diseases (cataract, diabetic retinopathy, glaucomaSample preparation for SNP genotyping at molecular genetics laboratory58
Observation of Rhodamine stained colonies of varying sizes Research Scholar performing apoptosis assay at ocularIRUPHG E\ FRUQHDO HSLWKHOLDO FHOOV RQ 7 ÀEUREODVW IHHGHU OD\HU pharmacology labGeneration Sequencing analysis of retinoblastoma was diabetic retinopathy, age-related macular degenerationH[WHQGHG WR LQFOXGH ERWK WKH VLQJOH QXFOHRWLGH YDULDQWV and glaucoma.and copy number variants. The department is currently engaged in bringing outStem Cell Biology newer intraocular pressure (IOP) lowering drugs using a newly established ex-vivo model system called HumanThe main focus of research is on limbal epithelial stem Organ Culture Anterior Segment (HOCAS) system.cells that help in maintaining the corneal epithelial Unlike the currently available anti-glaucoma drugs, thehomeostasis. The department has earlier established newly developed class of drugs acts on the cytoskeletonL D WZR SDUDPHWHU DQDO\VLV KLJK S H[SUHVVLRQ LQ assembly of the target tissue, the trabecular meshworkFHOOV ZLWK KLJK QXFOHRF\WRSODVPLF UDWLR DV D VSHFLÀF (TM) which is getting affected during glaucoma. ThisPHWKRG IRU WKHLU LGHQWLÀFDWLRQ DQG TXDQWLÀFDWLRQ VLQFH would be a potential class of drugs for the clinicalWKHUH DUH QR VLQJOH VSHFLÀF PDUNHU LL WKH SURWRFRO IRU management of glaucoma with better IOP control.ex-vivo H[SDQVLRQ RI DXWRORJRXV OLPEDOEXFFDO HSLWKHOLDOstem cells and (iii) transplantation of such stem cell rich Bioinformaticsbioengineered epithelium in patients with limbal stemFHOO GHÀFLHQF\ ZLWK VXFFHVV 7KH FXUUHQW IRFXV LV Research activities at Bioinformatics departmentto understand the components of the limbal stromal are directed towards two major areas, i) Structuralniche and to assess the damage to limbal stroma as a Bioinformatics. This uses structural bioinformaticsresult of the injury, which will play an important role in approach to the analysis of Single Nucleotide Variantsdeveloping better treatment modalities to patients with (SNVs) and prediction of its association with retinalOLPEDO VWHP FHOO GHÀFLHQF\ ,Q DGGLWLRQ WKH PROHFXODU dystrophies. This analytical approach will help createmechanisms that govern the maintenance of these tissue a platform to understand the pathogenesis of all otherVSHFLÀF QRQNHUDWLQLVHG DGXOW VWHP FHOOV DUH EHLQJ JHQHWLF H\H GLVHDVHV WKDW DUH FRPPRQ LQ ,QGLD LL 1H[Wanalysed using an enriched stem cell population. generation sequencing (NGS) data analysis: The NGS technologies enable scientists to analyse millions ofOcular Pharmacology DNA sequences in a single run. Gigabytes of raw data thus produced need to be further analysed in order toThe main focus of the department is to understand gain biological meaningful results. Tools are developedthe molecular mechanism(s) involved in the disease and applied for the analysis of NGS sequencing data,SDWKRJHQHVLV DQG WR LGHQWLI\ QHZHU RU PRGLÀHG from processing of raw data and mapping of reads totherapeutic drug targets for ocular diseases such as downstream statistical and bioinformatics analysis of the data. 59
RNA extraction from infected neutrophilsOcular Microbiology Ongoing Basic ResearchThe department focuses on the characterisation of - Mitoscriptome analysis to understand theocular pathogens and the host-pathogen interactions pathogenesis of diabetic retinopathy using tissueLQ WKH FRQWH[W RI RFXODU LQIHFWLRQV 7KH YLUXOHQFH microarraypersistence and antibiotic resistance mechanismsof clinical ocular isolates are probed using advanced - Mitochondrial genes involvement in Leber’stechnologies including whole genome sequencing. Hereditary Optic Neuropathy (LHON)Intracellular survival of pathogens and the host responseto infection are studied using invitro cell culture models, - Establishing the genetic testing centre forZKHUHDV WKH DFWXDO GLVHDVH SDWKRJHQHVLV LV H[SORUHG retinoblastomaXVLQJ RFXODU WLVVXH VDPSOHV H[YLYR $ UHFHQW DQDO\VLVRI WKH FRUQHDO PLFUR 51$ H[SUHVVLRQ SURÀOH LQ IXQJDO - Etiology and immunopathogenesis of subkeratitis gave an insight on the regulatory role of small conjunctival and anterior chamber granulomatous51$V LQ FRUQHDO LQÁDPPDWLRQ DQG ZRXQG KHDOLQJ uveitis in children of south India2FXODU F\WRNLQH DQG FKHPRNLQH SURÀOHV DUH EHLQJdetermined in uveitis patients with a view to identify - Microbiological clearance time and sensitivity assaypotential biomarkers and to understand the disease for acanthamoeba keratitispathogenesis. Since ocular infections remain a majorcause of vision loss in our country, advanced therapeutic $VSHUJLOOXV ÁDYXV VWXG\ JURXS RI ,QGLD $)6*,strategies need to be developed with an understanding Epidemiology, pathogenomics, and system biology ofof the underlying molecular events and regulatory $ ÁDYXV LQIHFWLRQV LQ ,QGLD $Q LQWHJUDWLYH DSSURDFKnetworks. The research done at the ocular microbiologydepartment aims to address these important aspects of - CoE - Programme support on Human Mycoticdisease by probing the host-pathogen interactions both Keratitisat the cellular and molecular level. &RUH 3URMHFW )XQFWLRQDO JHQRPLFV DQG SURWHRPLFV of fungal pathogenome and host immune response to fungal infection in human mycotic keratitis - Project 1: Quantitative proteomics and analysis of GLVHDVH VSHFLÀF SRVW WUDQVODWLRQDO PRGLÀFDWLRQV RI tear, cornea and sera of keratitis patients 3URMHFW %LRORJ\ RI KXPDQ RFXODU IXQJDO SDWKRJHQV comparative proteomics of virulent and avirulent $VSHUJLOOXV DQG )XVDULXP60
Participants to Workshop on Clinical Proteomics 3URMHFW )XQFWLRQDO JHQRPLFV RI D IXQJDO SDWKRJHQ Major Workshops Conducted Aspergillus fumigatus Workshop on Clinical Proteomics: Methods and- Role of Aldose Reductase in retinal pigment Applications epithelium - An understanding towards the pathogenesis of diabetic retinopathy Conducted on October 10 - 11 as part of October Summit, this workshop aimed at introducing young- Evaluating the role of macular carotenoids in research students to the state-of-the-art proteomics WKH DFFXPXODWLRQ RI $( D ÁXRURSKRUH LQ WKH technologies and its applications, primarily in the pathogenesis of age-related macular degeneration area of clinical research. Dr. Mohammad Aslam, Advisor, Department of Biotechnology, Government- Quantitative proteomics of host pathogen interaction of India inaugurated the workshop sponsored by the in human Aspergillus keratitis Department of Biotechnology, Government of India, 7KHUPR )LVKHU 6FLHQWLÀF ,QGLD DQG 3RQPDQL *ODVVFKHP- A genetic component to the INDEYE study of $JHQFLHV 0DGXUDL )LIWHHQ SDUWLFLSDQWV IURP GLIIHUHQW cataract and age related macular degeneration in Universities and institutes, took part in this workshop. India The participants were provided hands-on training in data analysis and interpretation of high-throughput- Molecular genetics of retinal dystrophies and proteomics data. congenital glaucoma- Human organ culture anterior segment for trabecular RXWÁRZ VWXGLHV- Proteomics and peptidomics of human infectious diseases and biomarker discovery- Predictive biomarkers for diabetic retinopathy DPRQJ GLDEHWLFV DQG VWDJH VSHFLÀF ELRPDUNHUV IRU NPDR and PDR 61
with Prof.K.Dharmalingam, Director, Prof. VR.Muthukkaruppan, Advisor, Dr.N.V.Prajna, Chief 0HGLFDO (GXFDWLRQ DQG $05) IDFXOW\ RQ YDULRXV research activities carried out at the institute. The guests offered a grant to support a research project on diabetic retinopathy.Dr. A.P.J. Abdul Kalam visits Aravind Ph.D. AwardedImportant Visitors K. Renugadevi was awarded Ph.D in Biomedical Sciences by Madurai Kamaraj University for her'U $3- $EGXO .DODP )RUPHU 3UHVLGHQW RI ,QGLD VWXG\ ´0ROHFXODU *HQHWLFV DQG )XQFWLRQDO $QDO\VLV RIvisited Aravind on May 31 to motivate the research Albinism Patients in India”. She carried out her studyteam to pursue quality research and to apply modern under the guidance of Dr. P. Sundaresan.UHVHDUFK ÀQGLQJV WR KHOS SHRSOH ZLWK YLVLRQ SUREOHPVHe delivered a talk on the topic, Bench to Bedside: Taking R.Sivaganesa Karthikeyan was awarded Ph.D inresearch to clinical practice. Biomedical Sciences by Madurai Kamaraj University for his study, characterisation of the Immunopathogenic 0U 6XEURWR %DJFKL )RXQGHU &KDLUPDQ 0LQGWUHH Mechanism In Human Mycotic Keratitis” He carried outLtd, Bangalore and his wife, Ms. Susmita Bagchi, his study under the guidance of Dr. C. Gowripriya.'LUHFWRU :KLWH 6ZDQ )RXQGDWLRQ %DQJDORUHYLVLWHG $05) RQ $XJXVW DQG KHOG GLVFXVVLRQV Prof. VR. Muthukkaruppan Endowment Award - 2014 The inaugural Prof. VR. Muthukkaruppan Endowment Award was presented to Mr. Mohammed Razeeth, 3URMHFW )HOORZ 3URWHRPLFV 'HSDUWPHQW IRU KLV outstanding research on Generating genome wide deletionsResearch team interacting with Mr. and Mrs. Bagchi62
Prof. VR. Muthukkaruppan Endowment Award being presented to TSQ Quantum UltraTM triple quadrupole mass spectrometer forMr. Mohammed Razeeth high-throughput and accurate quantitation of proteinsLQ $ÁDYXV 7R XQGHUVWDQG $ÁDYXV SDWKRJHQLF PHFKDQLVP The OrbitrapVelosProTMHybrid Ion Trap-Orbitrap MassDZDUG LV JLYHQ EDVHG RQ WKH VFLHQWLÀF PHULW RI DEVWUDFWV Spectrometersubmitted by the research scholars of Aravind Medical5HVHDUFK )RXQGDWLRQ 2UELWUDS9HORV3UR70FRPELQHV D 7KHUPR 6FLHQWLÀF 2UELWUDS PDVV DQDO\VHU DQG 9HORV 3UR LRQ WUDSNewly Added Research Facilities technology to deliver high resolution, speed, sensitivity, DQG ÁH[LELOLW\Mass SpectrometryA Core Mass Spectrometry facility with state-of-the-art TSQ Quantum Ultra™ Triple Quadrupole Masshigh throughput Mass Spectrometers was established Spectrometerprimarily to support proteomics research on different This allows multiple reaction monitoring, the principaleye diseases. This facility has been funded by DBT and powerful method for quantitative measurementGovernment of India for the programme on fungal of target proteins. This platform has been funded by akeratitis. Human resource development is another major generous grant from Subroto Bagchi.activity of this facility. Data AnalysisOrbitrap Velos ProTM hybrid ion trap-orbitrap mass spectrometer A dedicated computational facility for the analysis of Orbitrap MS generated high throughput data is also DYDLODEOH DORQJ ZLWK DGGLWLRQDO VXSSRUW IURP $05) Biocomputing Centre. Confocal Laser Scanning Microscopy Facility (LEICA TCS SP8) Leica TCS SP8 confocal laser scanning microscope is an inverted microscope designed for optical imaging with RSWLPDO SKRWRQ HIÀFLHQF\ DQG KLJK VSHHG DQG IDFLOLWDWHV optical sectioning. 63
Ongoing Clinical Research - A prospective, non-randomised, single arm, open ODEHO VWXG\ WR HYDOXDWH WKH VDIHW\ DQG HIÀFDF\ RIAravind Eye Hospitals Polymethyl Methacrylate Intraocular Lens (PMMA IOL) for the treatment of cataractRetina- Role of intravenous Methyl Prednisolone in closure - Comparison of induced coma due to decentration of two aspheric IOLs of post traumatic full thickness macular hole- Inverted ILM tucking for optic disc pit with Cornea maculopathy - Mycotic Ulcer Treatment Trial (MUTT)- Micropulse laser in diabetic macular edema - Parastic Ulcer Treatmet Trial (PUTT) 7R VWXG\ WKH VWUXFWXUH DQG EORRG ÁRZ LQ - Observation pilot study of the corneal FKRULRUHWLQDO FRPSOH[ RI KXPDQ XVLQJ RSWLFDO microstructural changes assessed by IVCM after coherence angiography hypotonic collagen crosslinking for thin corneas. $ PRQWK SKDVH ,,, UDQGRPLVHG GRXEOHPDVNHG - Comparison of corneal thickness using ultrasonic multicentre, active-controlled study to evaluate the pachmetry, pentacam and confocal microscopy. HIÀFDF\ DQG VDIHW\ RI WZR LQGLYLGXDOLVHG UHJLPHQV - Corneal ulcer prevention through health education RI PJ UDQLEL]XPDE 9V YHUWHSRUÀQ 3'7 LQ (YDOXDWLRQ RI WKH HIÀFDF\ RI F\FORVSRULQH LQ patients with visual impairment due to choroidal preventing graft rejection neovascularisation secondary to pathologic myopia (Brilliance) Glaucoma- Luminous: Study to observe the effectiveness and safety of Lucentis through individualised patient - A prospective, randomised, controlled clinical trial treatment and associated outcomes comparing topical medical therapy with Selective- A prospective, comparative, assessor blind, Laser Trabeculoplasty (SLT) as initial treatment for randomised, multicentric phase III study to compare open angle glaucoma in south Indian population WKH VDIHW\ DQG HIÀFDF\ RI UDQLEL]XPDE RI LQWDV biopharmaceuticals ltd. in comparison with lucentis - Genetic screening in a large family with primary of novartis in patients of wet AMD (age related open angle glaucoma macular degeneration) ,QGLDQ IDPLO\ DQJOH FORVXUH HYDOXDWLRQ ,)$&(IOL and Cataract study-Part II 7KH QDWXUDO KLVWRU\ RI ,2/ LQ H\HV ZLWK H[IROLDWLRQ - International Pilot Survey of Childhood Glaucoma syndrome (APEX IOL study) (IPSOCG) $UDYLQG SVHXGRH[IROLDWLRQ ,2/ VWXG\JHQHWLF - Quality of life assessment in one eyed glaucoma analysis patients with Indian vision function questionnaire- The role of homocysteine in Aravind - Prospective randomised comparative study of SVHXGRH[IROLDWLRQ ,2/ $3(; VWXG\ HIÀFDF\ DQG VDIHW\ RI VXE FRQMXQFWLYDO LQMHFWDEOH- Barriers to acceptance of cataract surgery mmc vs mmc soaked sponges in trabeculectomy in- A prospective study to analyse the surgically induced high risk glaucoma patients DVWLJPDWLVP DIWHU VXWXUHOHVV 06,&6 ZLWK GLIIHUHQW - The effect of postural changes on intraocular sized incisions pressure in primary open angle glaucoma and- To study the effect of morphological characteristics primary angle closure glaucoma using Perkins of posterior polar cataract on the surgical and visual tonometer RXWFRPH IROORZLQJ SKDFRHPXOVLÀFDWLRQ- Evaluation of the visual performance and rotational - Prospective case study of trabecular - iris angle status VWDELOLW\ RI L6HUW +R\D SUHORDGHG 7RULF OHQVHV on AS OCT post cataract surgery in phacomorphic glaucoma 5HWLQDO QHUYH ÀEHU OD\HU FKDQJHV DIWHU DQ DFXWH episode of phacomorphic angle closure &RPSDUH WKH VHQVLWLYLW\ DQG VSHFLÀFLW\ RI 'HOO WDEOHW64
ÀHOGV ZLWK WKH VWDQGDUG ZKLWH RQ ZKLWH SHULPHWU\ - Genetic and transcript analysis of RB1 in south GRQH RQ +XPSKUH\·V )LHOG $QDO\VHU +)$ Indian RB patients - ICMR- A randomised controlled trial comparing intraocular SUHVVXUH FKDQJHV DIWHU SKDFRHPXOVLÀFDWLRQ DQG - A prospective non-randomised single arm, open label manual small incision cataract surgery VWXG\ WR HYDOXDWH WKH VDIHW\ DQG HIÀFDF\ RI ODFULPDO- Trabeculectomy with Ologen silicone intubation for the management of Epiphora- Central macular thickness and its relation WR D[LDO OHQJWK DQG LQWUDRFXODU SUHVVXUH DIWHU - Evaluation of Auro-tube in conjunctiva phacotrabeculectomy dacryocystorhinostomy (CDcr)- A cross sectional study on the factors associated with optic disc haemorrhage in patients with primary - A simple smartphone based method for early glaucoma in a tertiary care centre in south India detection of retinobalstoma - A pilot study- A prospective, randomised comparative study WR GHWHUPLQH WKH VDIHW\ DQG HIÀFDF\ RI À[HG Operations research SRO\JODFWLQ VXWXUH DQG RQH À[HG Q\ORQ VXWXUH 9V À[HG Q\ORQ VXWXUH ZLWK RQH - Effectiveness of telemedicine in identifying diabetic UHOHDVDEOH Q\ORQ VXWXUH IRU WULDQJXODU VFOHUD ÁDS LQ retinopathy cases among patients visiting diabetes phacotrabeculectomy clinics compared with conventional referral (IIHFW RI 9(*) OHYHOV LQ WHQVLRQ WLVVXH RQ WKH outcome of glaucoma surgery $VVHVVPHQW RI IDFWRUV LQÁXHQFLQJ GHFLVLRQ PDNLQJ- SIX6 gene involvement in POAG for eye donation among potential corneal donorsUvea Clinical Trials- Etiology and immuopathogenesis of presumed Aurolab trematode induced uveitis in south India. - Prospective, non-randomised, single arm, open- Evaluating whether ocular compartment could ODEHO VWXG\ WR HYDOXDWH WKH VDIHW\ DQG HIÀFDF\ RI serve as a potential reservoir for HIV-1 during lacrimal silicone intubation (Aurolac) using the LQÁDPPDWRU\ FRQGLWLRQV LQ +,9 SRVLWLYH Needle manufactured with Ss316 Lvm (Light Vaccum individuals - Pilot study. Melted) for the management of epiphora - Prospective clinical investigation of Conjuctivo- Molecular diagnosis and ocular imaging of West Nile Dacryocystorhinostomy (CDcr) with Aurotube virus retinitis and neuroretinitis - A prospective, open label, observational study to evaluate the safety and surgical performance of- Periocular corticosteroid therapy for patients with VLOLFRQH RLO FRDWHG SJD QHHGOH LQ RSKWKDOPLF uveitis trial (PST Trial). surgeries - A prospective, non-randomised, single arm, open- SAKURA study - Safety assessment of masked ODEHO VWXG\ WR HYDOXDWH WKH VDIHW\ DQG HIÀFDF\ RI uveitis treatment Polymethyl Methacrylate Intraocular Lens (PMMA intraocular lenses) for the treatment of cataract- Assessment of visual outcome of irido-lenticular abscessOrbit, Oculoplasty and Ocular Oncology- Establishing the genetic testing centre for childhood ocular cancer (retinoblastoma) in Aravind Medical 5HVHDUFK )RXQGDWLRQ 65
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Aurolab crossed 23 years of service in manufacturing wide range of unique ophthalmic consumables that are relevant to people with vision impairment. Recently, Aurolab has set in motion efforts to increase its building space by 20,000 sqft to meet the growing needs. This new facility in the campus will accommodate state-of-the-art finished goods department and US FDA compliant manufacturing area. Aurolab was able to generate 164,250 KWH of clean energy from the solar plant established in the previous year, thereby reducing the carbon foot print significantly. It has launched many new products manufactured on efficient production lines with strict quality assurance measures that comply with US FDA, EU GMP, WHO GMP norms.Manufacturing Ophthalmic Supplies 67
New Products HAWK I: Aurolab Slit Lamps Aurolab has introduced its range of slit lamps under the EUDQG QDPH ´+DZN ,µ +DZN , IXOÀOV WKH ORQJ XQPHW need in the market for a good optical quality product available for less than one lakh rupees. It is a compact LOOXPLQDWLRQ V\VWHP ZLWK ÁXLG PHFKDQLFDO PRYHPHQW which offers excellent optical functions needed for eye care professionals. It comes in both top and bottom LOOXPLQDWLRQ ZLWK VWHS DQG VWHS PDJQLÀFDWLRQ Aurochart 22 Aurolab has introduced a wide screen 22” HD LCD display version of its Aurochart. This product has menu driven functions making it attractive, extremely easy to use as well as to train. It comes with various preloaded videos and images that can be used for patient counselling. The testing distance can be customised at the user end between 6 ft to 25 ft in 0.25 ft increment. USB port provided increases the versatility of the product. Lid Clean Aurolab has launched pre lathered foam based ready-to- use eye lid cleanser. Its triple anti microbial formulation ensures effective protection against infections. It contains no synthetic detergents making it irritation - free and safe for application on eye. It can be prescribed for all lid infections and especially is a boon for patients with blepharitis. Aurovue EV Preloaded Aurolab’s pre loaded hydrophobic acrylic aspheric IOL has been re-launched in the market with a new and improved patented design. This in-house innovative design ensures delivery of the IOL as desired by the VXUJHRQV 7KLV GHVLJQ VLJQLÀFDQWO\ UHGXFHV KDQGOLQJ RI the IOL either by the OT staff or surgeons. Auroflex Aspheric $XURÁH[ EUDQG RI K\GURSKLOLF DFU\OLF ,2/V ZKLFK has been the most successful and popular brand of Aurolab’s foldable IOLs has now been enhanced with a zero aberration aspheric optic. This is a value addition provided to customers at no additional cost. Scores RI SDWLHQWV VWDQG WR EHQHÀW IURP WKLV ZLWK LPSURYHG quality of vision.68
Marketing Activities which was attended by 30 surgeons. Second CME was held at Bhubaneswar, Orissa on December 16 and wasAurolab has widened its international market by attended by 20 surgeons.appointing nine new international distributors andadded 60 new international customers. It has initiated Aurolab being a multi-speciality organisation withdirect supply to major eye hospitals in Pakistan, Nepal, over 100 products in its range, it is a challenge toSudan, Yemen, Nigeria and a few other countries where WUDLQ DQG UHWUDLQ LWV ÀHOG IRUFH ,W DGRSWHG $UDYLQG·VAurolab does not have any dealer network. Aurolab has Aurosiksha platform to conduct a monthly onlinewon Ministry of Health tenders in almost 10 countries. WHVW 027, IRU LWV VDOHV DQG PDUNHWLQJ VWDII ZLWK a view to keep them updated about the products Second batch of Aurolab sales training programme - and applications. A monthly internal newsletterASTRA was conducted for a period of 8 days from June “connextions” was also started to bring together the ZLWK SDUWLFLSDQWV LQFOXGLQJ ÀHOG VWDII staff across the country and provide a platform for sharing and learning. Aurolab’s India Dealers Meet and Annual SalesMeet were conducted in June. Twenty-four dealers Sangamam, a one day workshop on clean roomparticipated in the dealers meet. The annual sales meet etiquettes, water system, sterilisation and handlingbrought together all 60 personnel involved in sales and RI RSHUDWLRQ WKHDWUH 27 SURGXFWV ZDV FRQGXFWHGmarketing across India. for OT staff of Aravind Eye Hospital. Around 170 staff members from all the Aravind centres were covered in 7 Aurolab sponsored a live surgery session at the annual batches under this programme. As most of the productsconference of Tamil Nadu Ophthalmic Association manufactured by Aurolab are surgical products, thisheld at Coimbatore from August 8 - 10. Surgeries SURJUDPPH ZDV PXWXDOO\ EHQHÀFLDO WR WKH QXUVHVwere performed by Dr. Ganesh V. Raman, Aravind - hospital and Aurolab.&RLPEDWRUH $XURÁH[ 7RULF ,2/ DQG 'U 7DQSUHHW6LQJK $UDYLQG 0DGXUDL $XURYXH $VSKHULFAurolab’s Continuing Medical Education (ACME) Regulatory AffairsToric IOL is a relatively new concept in India and its The ISO and CE Surveillance audits were carried outpenetration is much less compared to western markets. successfully. Preloaded Hydrophobic IOL, Glaucoma+RZHYHU 7RULF ,2/V DUH RI LPPHQVH EHQHÀW WR SDWLHQWV 6KXQW $$', DQG $XURVOHHN DUH DZDLWLQJ &(and give predictable outcomes. There is a learning curve FHUWLÀFDWLRQ $XURODE JRW &( DQG 86)'$ DSSURYDO IRUinvolved in adding Toric IOLs to a surgeon’s practice. PGA Absorbable suture.7R DLG LQ WKLV $XURODE VWDUWHG $&0( DQG WKH ÀUVW &0(RQ $XURÁH[ 7RULF ZDV KHOG DW (URGH RQ 1RYHPEHU Participants to India Dealers Meet 69
Participants of Sangamam workshop in Aurolab5HJLVWUDWLRQ FHUWLÀFDWH ZDV UHFHLYHG IRU SURGXFWV LQ Mr. R.D. Sriram, Mr. Vishnu Prasad and9 countries. GMP audit has been successfully done by Mr. Alexander represented Aurolab at the American0LQLVWU\ RI +HDOWK RI 6RXWK .RUHD DQG <HPHQ $XURÁH[ Academy of Ophthalmology conference held at Chicago,(9 KDV EHHQ DSSURYHG E\ 0LQLVWU\ RI )RRG DQG 'UXJ USA during October 18 - 21.Safety, South Korea. Aurolab participated in the Annual Conference ofProminent Trade shows attended WKH $VLD 3DFLÀF $FDGHP\ RI &DWDUDFW DQG 5HIUDFWLYHApart from the various regional and speciality Surgeons conference held at Jaipur, India duringconferences, following are the major conferences November 13 - 16.attended by Aurolab. Aurolab participated in the 73rd All India Mr. Vishnu Prasad and Mr. Alexander represented Ophthalmological Conference 2015 held at Agra fromAurolab at the Congress of the American Society of )HEUXDU\ Cataract and Refractive Surgeons conference held atBoston, USA during April 25 - 29. Products such as Aurovue EV preloaded IOL, Aurochart 22 were launched at the conference. Aurolab Mr. Vishnu Prasad, Mr. Venkatesa Kannan, organised Aravind Alumni meet at India Habitat CentreMr. Ramnath and Mr. Alexander represented Aurolab at RQ )HEUXDU\ DQG ZDV DWWHQGHG E\ DURXQG DOXPQLthe Annual Conference of European Society of Cataract DFURVV ,QGLD $XURODE DOVR ZRQ $,26 &HUWLÀFDWH RIand Refractive Surgeons conference held at London, UK Merit for its stall.during September 13 - 17.Aurolab stall at ESCRS conference,London,UK Aurolab team at APACRS conference, Jaipur70
Aurolab stall at TNOA conference Dr. R. Ramakrishnan addressing the staff at Aurolab Day celebrationHR Activities Various motivational lectures were arranged on different occasions to keep up the staff morale andContinuous Technical Education Programme was spirit. Health care awareness talks were also conductedarranged for the production staff on October 12. The URSLQJ LQ HPLQHQW VSHFLDOLVWV LQ WKH ÀHOGtopics covered included packing system, sterilisation,microbiology, GMP and clean room and water recycling. Graduation day was organised for the trainees of the production unit on July 6. As a way of expressing its social responsibility,Aurolab arranged Angaadi, a unique charity fest on Production staff who were not fortunate to continueOctober 17 in which staff members participated whole - their studies after school due to economic conditionsheartedly. The proceeds of the sales went to the Jammu were encouraged to pursue graduation. AurolabDQG .DVKPLU )ORRG 5HOLHI )XQG IDFLOLWDWHG WKH SURFHVV DQG WKH ÀUVW EDWFK FRQVLVWLQJ RI staff members successfully completed their graduation. On the recreation front, a playground wasinaugurated in Aurofarm. Education funds were allotted to children of staff members to make sure that they receive quality A training programme on preventive maintenance and HGXFDWLRQ &ORVH WR IRUW\ HPSOR\HHV KDYH EHQHÀWWHGits advantages was organised for all the technicians on-XQH 7KH SDUWLFLSDQWV ZHUH LQWURGXFHG WR YDULRXV )HVWLYDOV WKURXJKRXW WKH \HDU ZHUH FHOHEUDWHG ZLWKW\SHV RI PDLQWHQDQFH V\VWHPV GHÀQLWLRQ RI SUHYHQWLYH all their glory which gave staff an opportunity to minglemaintenance and importance of cleaning, lubrication, with each other and share the joy of season.inspection and calibration. 0HGLFDO LQVXUDQFH EHQHÀW KDV EHHQ RIIHUHG WRMrs. Krishnammal Jagannathan with the Aurolab staff employees along with family members. 118 employees KDYH EHQHÀWWHG Staff on an excursion to Courtrallam 71
CENTRAL FUNCTIONSHUMAN RESOURCE DEVELOPMENT organisational consultant was roped in to mentor seniorACTIVITIES physicians by facilitating various group discussions. Pragathi - a get-together of senior doctors was arrangedA retreat was conducted on January 18 - 19 for Nursing RQ -DQXDU\ WR UHÁHFW RQ WKH GLIIHUHQW LVVXHV WKH\ IDFHSuperintendents, HR Managers and staff of Personnel in work. Grooming sessions were arranged on a periodicDepartments across all Aravind centres. Ms. Cindy basis to help in personality development. A club namedHarrison, Vice-President/Talent and Workforce Wanderers was formed that organises trekking and6WUDWHJLHV DW +HQU\ )RUG :HVW %ORRPÀHOG +RVSLWDO photography sessions which help physicians exploreUSA facilitated the retreat. HR activities of the last the outer world and develop a good rapport amongstyear and retention rate were analysed in detail. HR themselves. Motivational talks were also arranged toFDOHQGDU DQG WKHPH IRU WKH \HDU ZDV ÀQDOLVHG 7KH boost their spirit.WKHPH ÀQDOLVHG IRU $UDYLQG (\H &DUH 6\VWHP ZDV toenhance effective communication for quality patient care. HR Training Programme for DriversTheme for the year 2015 was decided as year for Leadership (QJLQHHUV IURP )RUFH 0RWRUV FRQGXFWHG D WUDLQLQJ RQDevelopment. the importance of proper maintenance of vehicles for the drivers of Aravind - Madurai on April 23.Towards Ensuring Professional Talk on TypographyDevelopment Andy Jones, volunteer from USA specialising in media arts interacted with staff of Aravind CommunicationsPhysician Engagement Programme department on various ideas related to designing, style,Aravind is among the very few organisations in the font selection for both print and electronic media.ÀHOG RI KHDOWK FDUH WR LQLWLDWH SK\VLFLDQ HQJDJHPHQWprogramme. The main aim of this programme is to make Talk on Managing Technical Risks in Hospitalphysicians develop a better involvement in their work Equipment Maintenancewhich will ultimately result in better patient care. The 0U & 5 3DQGLDQ &(2 DQG )RXQGHU 4XDOLW\programme is designed in such a way as to help develop Improvement Consultants handled the session fora sense of connectivity among the physicians. Various DOO PDQDJHUV /$,&2 IDFXOW\ VWDII IURP ,QVWUXPHQWVprogrammes were implemented towards this end. Maintenance Department, AMRF and Aurolab.Mr. Larry Hulbert, eminent educational andDr. Krishnadas addressing the participants at HR Retreat72
Participants at PragathiContinuing Medical/Professional CPE for Staff of Instruments MaintenanceEducation (CME/CPE) Programmes for DepartmentInternal Training The two day programme was conducted for the staff of Instruments Maintenance department across theThere has been a constant emphasis within the $UDYLQG FHQWUHV DW $UDYLQG (\H +RVSLWDO 3RQGLFKHUU\RUJDQLVDWLRQ WR FRQWLQXDOO\ LPSURYH VSHFLÀF FOLQLFDO during November 1 - 2.skills along with soft skills in order to provide theEHVW H[SHULHQFH IRU WKH SDWLHQWV &0( SURJUDPPHV CME for Staff of Vision Centreshave proved to be a strong motivation as well as a $ &0( IRU VWDII RI 9LVLRQ &HQWUHV &RPPXQLW\ &HQWUHVtraining ground for those at task. It helps learn the best and Surgical Centres was organised on November 30 attechniques and unlearn the bad ones. $UDYLQG 7LUXQHOYHOL 7KH &0( ZDV GHVLJQHG WR SURYLGH XS WR GDWH LQIRUPDWLRQ LQ WKH ÀHOG RI RSKWKDOPRORJ\OPTIMEET-CPE for Optical Shop Staff $ VLPLODU &0( ZDV DUUDQJHG IRU WKH VWDII RI 9LVLRQ2SWLPHHW ZDV DUUDQJHG RQ 6HSWHPEHU DW $UDYLQG Centres at Aravind - Madurai on March 7 - 8.Madurai for the staff of Aravind optical shops acrossall centres. Participants discussed important topicsrelevant to optical dispensing.Participants at the CPE for Optical staff 73
CME for staff of Vision CentresCPE for Aravind Communications and Visual Arts CPE for Staff of Stores DepartmentStaff The workshop held on January 9 at Aravind - Madurai brought together staff from various centres to come upAravind Communications team consisting of close to with ideas that would ensure the smooth functioning ofthirty members from DTP, Audiovisual department the Stores department.DQG QHZV FRUUHVSRQGHQWV DFURVV WKH $UDYLQG (\HCare System had their annual training programme at CPE for Accounting Staff/$,&2 GXULQJ 'HFHPEHU 6HVVLRQV FRQVLVWHG RI 7KH DFFRXQWV WHDP VXFFHVVIXOO\ FRQGXFWHG WKH ÀUVWmotivational classes, soft skill as well as professional $FFRXQWV &3( RQ 0DUFK ZLWK WKH REMHFWLYH RIWUDLQLQJ UHOHYDQW WR HDFK GHSDUWPHQW (PLQHQW UHVRXUFH standardising the accounting systems across all tenpersons were roped in to give hands-on training to the hospitals and to ensure error free, accurate and timelyparticipants. reports to management. IT provided exposure on theAt the CPE for staff of Stores Department74
Participants to the CPE for accounting staffQHZ LQLWLDWLYHV SODQQHG IRU WKH ÀVFDO \HDU ,W Motivational talks are arranged on a regular basiswas a nice opportunity for the accounting staff to meet across all centres for different cadres of staff to boostin person and strengthen the relationship between the WKHLU PRUDOH DQG NHHS WKHLU VSLULWV KLJK (PLQHQWteams. resource persons are invited to handle such sessions.Skill Development Programme As a way of motivating the staff children, those who cleared tenth and plus two public examinationsSkill development programme in collaboration with were felicitated at a specially organised meeting. Gifts(VVLORU ,QGLD 3YW /WG ZDV RUJDQLVHG IRU WKH VWDII RI were distributed to the children for their outstandingoptical sales, refraction and counselling department as SHUIRUPDQFH (GXFDWLRQDO IXQGV ZHUH GLVWULEXWHG WR WKHwell as optical technicians and supervisors on February children of sanitary staff. DW $UDYLQG &RLPEDWRUH 7RSLFV FRYHUHG LQFOXGHGeffectiveness in communication and importance of team Child care centre within the hospital are a realwork. boon to the working mothers at Aravind. The centre organised summer camp and other entertainment as well as informative activities for the children.Employee Welfare Measures Staff children being felicitated$V D ÀUVW RI LWV NLQG LQLWLDWLYH D VSHFLDO IDPLO\ PHHWwas arranged for the technicians of Vision Centresat Aravind - Madurai and Pondicherry on December20 and 28 respectively. Given that most of theVision Centre technicians lack the necessary familysupport in performing their work, the main purposeof the programme was to make the family membersunderstand the great service their relatives or spousesDUH UHQGHULQJ WR WKH VRFLHW\ DQG WKH VLJQLÀFDQFH RI WKHLUwork. The participants were taken on a tour of hospitalfacilities, Nithyatha and Aurolab. 75
Valedictory function of summer camp for children Melody Friday was organised every month that gave The staff of Aravind swiftly stepped into action. Theya platform for the staff members to come up with their collectively organised an event called “Angaadi” whichWDOHQWV LQ PXVLF DQG VLQJLQJ ([FXUVLRQ SURJUDPPHV was a platform for Aravind staff to recycle householdwere arranged for staff belonging to different cadres. items, new and old, that would be of value to other staff. Additional revenues were made from sale of food items Special celebrations were arranged on the occasion cooked by the staff, as well as certain fun games. TheRI PDMRU IHVWLYDOV DQG DQQLYHUVDU\ GD\V RI WKH KRVSLWDOV proceeds of this one-day marketplace was matched bythat brought together the staff on a common platform. the organisation and a sizeable donation was sent to VXSSRUW WKH UHOLHI ÁRRG ZRUN LQ -DPPX DQG .DVKPLU ,Q Fire safety awareness programme was held at addition to generating substantial funds, the event alsodifferent Aravind centres that demonstrated the use of reinforced the values of giving and sharing - both coreÀUH H[WLQJXLVKHU DQG KRZ WR PDQDJH RQHVHOI LQ FDVH RI D aspects of Aravind’s work.ÀUH HPHUJHQF\ Angaadi at Aravind - Madurai Spoken Hindi classes were organised for the staffof Aravind. The one-month course provided insightsLQWR WKH EDVLFV RI WKH ODQJXDJH &HUWLÀFDWHV IURP +LQGLPrachar Sabha were distributed to the staff who passedthe Viva Voce. Ms. Susy Stewart, an eminent Yoga teacher anddisciple of BKS Iyengar from San Francisco offered ashort course in yoga for Aravind staff and employees atMadurai during January 5 - 9.A Market Place for GoodThe spirit of service at Aravind continues to befostered not only by the day-to-day work of servingall those in need of eye care but also reaching out topeople elsewhere suffering from natural calamities. In6HSWHPEHU RI WKH .DVKPLU UHJLRQ H[SHULHQFHGGLVDVWURXV ÁRRGV WKDW GHVWUR\HG SURSHUW\ DQG OLYHV76
INFORMATION TECHNOLOGY AND Barcode Scanning for IOLsSYSTEMS To keep track on the number of intraocular lens used, and to ensure that each patient gets the correct implant.7KH PDMRU IRFXV RI WKH ,7 GHSDUWPHQW GXULQJ WKH ODVW It is implemented in Madurai, Theni, Tirunelveli,year was towards enhancing the existing solutions Pondicherry, Coimbatore, Salem and Tuticorin.and implementing new modules in all Aravind centresso as to ensure that all the hospitals in the network Corporate Accounts Management Modulefollow similar system. Complete IT solutions were To keep track of complete cycle of activities relatingimplemented in the centres opened during the year. to claims from the corporates and third parties. It is implemented in all the Aravind centres.Moving towards Paperless System Community Outreach Management System Implemented at Aravind-Madurai, Coimbatore,7KH WHDP DGGHG QHZ PRGXOHV WR WKH (OHFWURQLF 0HGLFDO Tirunelveli, Pondicherry, Theni and Salem, this ensures6\VWHP (05 PRYLQJ FORVHU WRZDUGV D FRPSOHWHO\ foolproof management of the large volume of outreachpaperless system. These include modules for Retina data.DQG *ODXFRPD RXWSDWLHQW GHSDUWPHQWV SDWLHQW ÁRZmanagement and cataract surgery, laser procedures and Global Hospital Performance Monitoring Systempost-operative rounds. +RVSLWDOV SDUWLFLSDWLQJ LQ /$,&2·V FDSDFLW\ EXLOGLQJ programme are now able to easily share performance 7KH 2XWSDWLHQW PRGXOH ZDV LPSOHPHQWHG LQ WKH GDWD RQOLQH 7KLV KHOSV /$,&2 SURYLGH DSSURSULDWHCity Centre at Pondicherry. The new City Centre in inputs to take them through the right direction.&RLPEDWRUH EHFDPH $UDYLQG·V ÀUVW SDSHUOHVV FHQWUH The system allows hospitals to track their progressZLWK ERWK WKH 2XWSDWLHQWV PRGXOH DQG WKH 6XUJLFDO against the targets set and always benchmarks theirPRGXOHV UROOHG RXW IURP WKH LQDXJXUDO GD\ (05 LV performance against other hospitals.currently running in four community eye clinics and oneVXUJLFDO FHQWUH 3ODQV DUH XQGHUZD\ WR LPSOHPHQW (05 Accommodation Management Systemin all secondary centres by the end of this year. A web enabled system was developed to replace an already existed windows based system. The system is A module was developed to ensure accuracy of the GHYHORSHG ZLWK PRUH IHDWXUHV FXVWRPLVHG DQG VSHFLÀFinpatient data captured at the campsite and also to to the organisation’s requirements. It is implemented incomplete the admission process at the campsite itself to Madurai and still undergoing changes to improve theavoid unnecessary waiting once the patients reach the utilisation of the system.EDVH KRVSLWDO ,W LV FXUUHQWO\ SUDFWLVHG LQ VSHFLÀF FDPSVin Madurai and Pondicherry which will be extended toother hospitals in the coming years.Aravind’s IT team with the participants to the IHMS Users Workshop, Kathmandu, Nepal 77
Integrated Human Resource Information System ARAVIND LIBRARY AND INFORMATIONAttendance report was integrated to the existing system CENTREto monitor attedance of employees. Attendance detailsare centrally downloaded and reports are being sent to ,Q WKH ÀVFDO \HDU HQGLQJ 0DUFK WKH OLEUDU\respective hospital heads on a regular basis. across the centres welcomed more than 20,000 users DQG FODULÀHG TXHULHV RI PRUH WKDQ SHUVRQV DWWebsites Enhanced the reference desks and through the ‘Ask a Librarian’www.aravind.org, www. aravindeyefoundation.org service. Huge amount of digital collections wereand www.v2020eresource.org were revamped with DUFKLYHG IURP YDULRXV RSHQ DFFHVV MRXUQDOV DQG WKHVHadditional features. The department was also involved were shared with users across the Aravind centres.in developing webpages for Vaigeye2015 - the annualFRQIHUHQFH RI 7DPLO1DGX 2SKWKDOPLF $VVRFLDWLRQ Elsevier Project Evaluation MeetingVideo Portal Ms. Pamela C Sieving, Former Biomedical Librarian,A new feature was added to the intranet which allows NIH Library Bethesda and Ms. Bette Anton, Librarianeasy sharing and viewing of videos. (PHULWD 8QLYHUVLW\ RI &DOLIRUQLD ZHUH DW WKH FHQWUH from January 5 - 9 to review and analyse the assessmentNew Technical Solutions UHSRUWV RI 6HYD (OVHYLHU 3URMHFW $UDYLQG8SJUDGHG 2SWLFDOV VRIWZDUH ZDV LPSOHPHQWHG LQ library provided support to the review meeting and gavePondicherry, Tirunelveli, Salem and Theni. Vision necessary recommendations for the development of theCentre software was implemented in two centres. resource centres.IT Support to Other Eye Hospitals Support to other Resource Centre,QWHJUDWHG +RVSLWDO 0DQDJHPHQW 6\VWHP ,+06software was implemented in the following hospitals. The centre is actively involved in developing resource ,QQRYDWLRQ (\H &HQWUH .LVVL .HQ\D centres for other eye care centres in India and other )LWVXP %LUKDQ (\H 6SHFLDOLVHG &HQWUH 0HNHOOH FRXQWULHV 6XSSRUWHG E\ 6(9$ )RXQGDWLRQ Mr. Kirubanithi, Senior Librarian helped set up resource (WKLRSLD centres for the Grameen Hospitals at Barisal and Bogra.- Kitwe Central Hospital, Kitwe, Zambia Necessary suggestions were given to improve the 3UHVE\WHULDQ (\H 6HUYLFHV %DIRXVVDP &DPHURRQ services of resource centre at Netra Niramay Niketan 3%0$ ¶V 7DW\D 3DWLO (\H +RVSLWDO -DOJDRQ Hospital, Kolkata and its extension centre in Amthala. 6KURII ¶V (\H +RVSLWDO 5DPSXU ,VSDKDQL ,VODPLD (\H +RVSLWDO -DPDOSXU %DQJODGHVK Mr. Kirubanithi trains the librarians at Grameen /DPDKL (\H +RVSLWDO /DPDKL 1HSDO Eye Hospital, Bogra 01 (\H +RVSLWDO 7RQGLDUSHW &KHQQDLOnsite SupportDuring the last year, the IT team visited 13 hospitalsusing IHMS for annual maintenance and to demonstratenew features and modules. Aravind’s IT team led an IHMS update workshop atNepal Netra Jyoti Sang, Kathmandu during November17 - 18 and shared inputs related to the better utilisationand management of the software.78
Prayana - Museum of eye care at AravindExposure Visit Ms. Kumaragurupari attended Cochrane Colloquium: Evidence-Informed Public Health Opportunities and ChallengesMr. Kirubanithi observed the National Library of at Hyderabad. Her interview about the impact of0HGLFLQH DQG 1DWLRQDO (\H ,QVWLWXWH LQ WKH 86$ LQ Cochrane reviews was published in the CochraneMay during his visit to receive the Medical Library website.Association award. At NIH, he spoke on MedicalLibraries in India and gave a presentation on Challenges Prayanaand opportunities in access to biomedical information resourcesin developing countries along with Ms. Pamela C Sieving. A museum of eye care at Aravind was inaugurated in+H OHDUQW DERXW WKH ODWHVW WUHQGV LQ WKH ÀHOG RI OLEUDU\ the library premises by Ms. Pamela C Sieving and Bettemanagement after visiting libraries at John Hopkins Anton on January 9. The museum houses pictures and6FKRRO RI 3XEOLF +HDOWK :LOPHU (\H ,QVWLWXWH videos from the early years, manuscripts and ophthalmicBaltimore and the University of Maryland. He also got equipment and instruments used for diagnostican opportunity to visit University of Illinois Centre and treatment purposes since the inception of the8,& DQG 2SKWKDOPLF /LEUDU\ LQ &KLFDJR organisation.Ms. Kumaragurupari at the Cochrane Colloquium At the inauguration of Prayana 79
- facilitate Grand Rounds and clinical meetings held DFURVV DOO $UDYLQG (\H +RVSLWDOV WKURXJK YLGHR conferencing. Around 270 video conferencing sessions consisting of a total of 327 hours were conducted during the year. BIOSTATISTICSDoctor at the base hospital in consultation with a patient in Vision The department provides vital support to variousCentre via telemedicine clinical, epidemiological and health services research SURMHFWV DW $UDYLQG WKURXJK DFWLYH LQYROYHPHQW ULJKWTELE-OPHTHALMOLOGY NETWORK from the study design. The department also takes care of entry, and management of data, statistical analysisAravind has been deploying telemedicine to and assist in report writing and publishing. The- enable delivery of eye care services to rural areas. biostatisticians also provide statistical consultation for postgraduates, fellows and research scholars. This low-cost telemedicine approach in all the Additionally, statistical inputs are provided for planning Aravind Vision Centres enables the patients to have UHVHDUFK SURMHFWV LQ SDUWQHU RUJDQLVDWLRQV RQ UHTXHVW real-time consultation with the ophthalmologist in the base hospitals. In the last year, this facility was ARAVIND COMMUNICATIONS SURYLGHG WR ÀYH QHZ 9LVLRQ &HQWUHV- to collaborate with various diabetes clinics for (TXLSSHG ZLWK IXOOÁHGJHG LQKRXVH GHVNWRS screening of patients with diabetic retinopathy. A publishing, web development and audio visual units, the total of 1,111 cases were evaluated during the year - department takes care of the communication, printing, ending March 2015. health education and teaching and training needs of $UDYLQG (\H &DUH 6\VWHP 7UDLQLQJ SURJUDPPHV ZHUH arranged for the staff to update them on the latest techniques related to their work.Aravind communications team at their annual training programme80
AWARDS AND RECOGNITIONSIn the last year, Aravind won several national and One among the 30 most Influential People in Publicinternational awards both at the organisational and Healthindividual levels. Such acknowledgements are gratifyingand also inspire the staff to work with fresh vigour Mr. R.D. Thulasiraj was selected one among the 30 Mosttowards achieving the organisation’s mission. ,QÁXHQWLDO 3HRSOH LQ 3XEOLF +HDOWK E\ WKH 0DVWHU·V LQ Public Health Degrees, premier online resource guide forSankalp Award for Aravind exploring and choosing from the highest quality Master of Public Health (MPH) degree programmes.Sankalp Award, India’s leading social enterpriserecognition was presented to Aravind on April 10 at Most Inspiring Health care Leader of the YearMumbai. Dr. S. Aravind received the award. AwardFrost and Sullivan Lifetime Achievement Award 0U 5' 7KXODVLUDM UHFHLYHG WKH ÀUVW HGLWLRQ RI WKH Health care Achievers Awards 2014 presented by NewChairman Emeritus Dr. P. Namperumalsamy was India Assurance and an initiative by The Times of Indiahonoured with the Frost and Sullivan Lifetime on December 11 at New Delhi. The Most Inspiring HealthAchievement Award 2014, by Frost and Sullivan, the care Leader of the Year Award was presented to him for hisglobal growth consulting company, headquartered in leadership, knowledge and contribution to the Health&DOLIRUQLD WRZDUGV KLV JUHDW FRQWULEXWLRQ LQ WKH ÀHOG care sector.of ophthalmology in Asian sub-continent. The awardwas presented during the 6th Annual India Health care Lifetime Achievement AwardExcellence Awards 2014 held in September at Mumbai. Dr. R.D. Ravindran was awarded Lifetime AchievementACOIN Life Time Achievement Award Award by Saveetha University, Chennai in November.Dr. P. Namperumalsamy was presented with the Prof B P Kashyap Memorial AwardLife Time Achievement Award by the Association ofCommunity Ophthalmologists of India at Kolkata on Prof. B P Kashyap Memorial Award was presented toNovember 1. Dr. S.R. Krishnadas during the 12th Annual Conference of Jharkhand Ophthalmic Society held at Bokaro SteelLifetime Achievement Award City on November 29 - 30.Dr. P. Namperumalsamy was awarded Lifetime IIRSI Gold MedalAchievement Award by the Vitreo Retinal Society ofIndia at the annual conference held in New Delhi on Dr. N. Venkatesh Prajna was awarded gold medal for hisDecember 6. The award recognised his contribution to contribution to research and residency education by thethe development of vitreoretinal services in India. Indian Intraocular Implant and Refractive Society on July 5 at Chennai.Puthiya Thalaimurai Tamilan Virudugal Award Icon of Coimbatore AwardDr. G. Natchiar was awarded Puthiya Thalaimurai Dr. V. Narendran was bestowed with the Icon ofTamilan Virudugal Award by Puthiya Thalaimurai Coimbatore Award on January 22 for his contributiontelevision channel on July 27 at Chennai. The award was towards the betterment of the society.JLYHQ WR UHFRJQLVH KHU VHOÁHVV VHUYLFH LQ UHVWRULQJ VLJKWto many. UKSOS Gold MedalLifetime Achievement Award Dr. Naresh Babu was awarded Gold Medal for Excellence in Ophthalmology by the Uttarakhand StateDr. M. Srinivasan was awarded Lifetime Achievement Ophthalmological Society at the Uttara EyeCon 2014Award by the Cornea Society of India at the annual held at Mussorie on October 4.conference of the Society, KERACON held atMahabalipuram on December 20. 81
Most Inspiring Health care Leader of the Year Award for Dr. P. Namperumalsamy with Dr. M.S. Swaminathan at theMr. R.D Thulasiraj Dr KS Sanjivi Endowment OrationIIRSI Gold Medal for Dr. Venkatesh Prajna Lifetime Achievement Award for Dr. M. Srinivasan Frost and Sullivan Lifetime Achievement Award 2014 for Dr. P. Namperumalsamy Dr. M. Srinivasan delivers Dr.Narendra Swarup Memorial Oration82
Dr. V. Narendran bestowed Icon of Coimbatore Award Puthiya Thalaimurai Tamilan Virudugal Award Lifetime Achievement Award for Dr. R. D. Ravindran for Dr. G. Natchiar UKSOS Gold Medal for Dr. Naresh BabuAravind - Pondicherry Bags Prize at Farm Fest Show 2015 83
As Special Invitees for Memorial Orations ASCRS Best Paper AwardDR. P. NAMPERUMALSAMY Aravind - Coimbatore team consisting of Dr. V.R.- Delivered Dr. Samir Biswas Memorial Oration on Saravanan, Dr. V. Prabhu and Dr. Kalpana Narendran won Best Paper Award for the paper titled Retrospective Combating Blindness from Diabetic Retinopathy in India study of visual outcomes and complications after sutureless, at the Annual Conference of the West Bengal ÁDSOHVV DQG JOXHOHVV LQWUDVFOHUDO À[DWLRQ RI SRVWHULRU FKDPEHU Ophthalmological Society held at Kolkata on IOL in cases with inadequate capsule support at the ASCRS November 20 - 22. Symposium held at Boston, Massachusetts, USA from- Delivered the Dr. KS Sanjivi Endowment Oration April 25 - 29. on An Affordable Health care Delivery Model - Challenges & feasibility based on Aravind model at The Voluntary Best Video Award Health Services Hospital (VHS), Chennai on December 27. He was also awarded medallion by Dr. Parag K Shah received Best Video Award for the Dr. M.S. Swaminathan, Director - VHS, who presided video titled Scleral auto graft for management of chronic over the function. maculopathy associated with optic nerve head pit at the 23rd- Delivered the Dr. T.N.C. Vedantham Memorial Annual Vitreo Retinal Conference held at Agra, during Oration on Diabetic Retinopathy: Community Based December 5 - 7. Management at the CME on Retinal Vascular Disorders organised by Radhatri Netralaya at Awards at the Annual Conference of Tamil Nadu Chennai on September 14. Ophthalmic Association- Delivered the Tun Hussein Onn Memorial Lecture on Diabetic Retinopathy: The Looming Global Health Crisis Coimbatore, August 8-10 at the 10th Anniversary Meeting of the ASEAN Association of Eye Hospitals at Kuala Lumpur, DR. K. VEENA Malaysia on November 29 - Best Paper Award for the paper, Quick photo assessment:DR. M. SRINIVASAN An innovative way of school eye screening- Delivered the 11th Dr. Narendra Swarup Memorial DR. SHABANA BHARATHY Oration on Prevention of Corneal Ulcer and Related Vision - Best Paper Award for the paper, Family screening in Loss at the CME organised by Swarup Eye Centre at Hyderabad on May 25. glaucoma patients and its outcome. He also won award for the best E-Poster, for his presentation, TrabeculectomyRecognition at AGS 2015 with scleral patch graft for advanced glaucoma in Ehler Danlos Syndrome.A surgical video titled Outcomes the buckle and in goes theplate... on AADI (Aurolab Aqueous Drainage Implant) Dr. Haripriya Aravind has been selected for theproduced by Dr. George V Puthuran and presented Dr. M.N. Endowment Award for the paper, Aravindby Dr. Alan Robin was placed second at the annual 3VHXGRH[IROLDWLRQ 6WXG\ ,QWUDRSHUDWLYH ,PPHGLDWH DQG <HDUVAmerican Glaucoma Society 2015 Meeting in Coronado, Post-operative Results. The award will be presented duringCA on February 27. the next annual conference of the TNOA. Dr. Karan Kumarasamy, Aravind - Coimbatore won First Prize in Ophthalmology General quiz. 'U $VKLVK $KXMD IURP $UDYLQG 7LUXQHOYHOL ZRQ ÀUVW prize in E T Selvam Quiz Competition.Tun Hussein Onn Oration Award to Dr. P.Namperumalsamy T. Mark Hodges International Service Award Mr. L. Kirubanithi received the prestigious T. Mark Hodges International Service Award 2014 from the Medical Library Association (MLA) on May 19 at Chicago, USA. The award recognises his contributions in laying the foundation for MLA’s second century of excellence and achievement in the health information profession.84
Best Nursing Care Award Ms. Chidambaram was awarded AVK Kalvi Kuzhumam award for her excellent services rendered towards patient care on May 8. She was also presented with the Best Nurse Award IRU KHU VHOÁHVV ZRUN DQG VHUYLFH E\ /LRQV &OXE RI Tirunelveli Star on December 31. Certificate of Appreciation Ms. V. Arumugam and Ms. Ayirathammal were UHFRJQLVHG IRU WKHLU VHOÁHVV ZRUN E\ WKH 5RWDU\ &OXE RI Tirunelveli North on October 12.T. Mark Hodges International Service award for Mr.L.Kirubanithi Certificate of AppreciationDr. G. Venkataswamy Gold Medal Youth Red Cross wing of Indian Red Cross Society SUHVHQWHG &HUWLÀFDWH RI $SSUHFLDWLRQ WR $UDYLQG (\HDr. Vini Goyal and Dr. Urmil Shah were awarded Hospital for its service to society at a function held atDr. G. Venkataswamy Gold Medal in the speciality of Madurai Kamaraj University on October 29. Mr. R.ophthalmology by the National Board of Examinations Meenakshi Sundaram received the same on behalf ofon May 12 at New Delhi. Aravind.Winners of Allergan Quiz Competition Best Paper Award at the International Conference on Contemporary Research Trends in DiagnosticsDr. O. Annamalai and Dr. Kausthub became the winner and Therapeuticsand second Runner up of the Erudio quiz competitionorganised by Allergan India Ltd; , Pondicherry. They 0U * 5DPHVK .XPDU ZRQ ÀUVW SUL]H XQGHU )UHHwere entitled for a free trip to Malaysia to attend the Paper presentation for the topic, Prevalence of ESBL andAPACRS 2015 conference. MBL producing Pseudomonas aeruginosa isolates from ocular infections in Tertiary Eye Care Hospital at South India at theAIOS Award three day conference held at Chennai from February 16 - 18.Dr. Arijit Mitra was awarded Best Paper Award for hispaper, An AS OCT based study to note the progression of PACS First Prize at Farm Fest Show 2015patients to Primary Angle Closure (PAC) and Primary AngleClosure Glaucoma (PACG) at the Annual Conference of All The Department of Agriculture, Government ofIndia Ophthalmic Society held at Agra on February 5. Puducherry conducted XXVIII Flower, VegetableDr. O. Annamalai won second place at Sun Pharma Quiz and Fruit show from 6th March to 8th March 2015.organised as part of the conference. $UDYLQG (\H +RVSLWDO 3XGXFKHUU\ ZRQ ÀUVW 3UL]H IRU RUQDPHQWDO KHUEDO DQG NLWFKHQ JDUGHQ IRU WKH ÀIWK consecutive year.Ms. Chidambaram receiving the Best Nurse Award Women’s Day Excellence Award Dr. Usha Kim and Ms. Aleykutty Varghese were honoured with International Women’s Day Excellence Award by the Lions Club of Madurai Delight District 324-B3 at Tirunagar on March 8. Ms. Saradha Ramakrishnan was honoured with Best Woman Award by the Bharathiyar Ulaga Podhu Sevai Mandram, Tirunelveli. 85
PARTNERS IN SERVICEThough Aravind’s core operation is self- sustainable, the organisation is indeed fortunate to be supported by manyLQ WDNLQJ IRUZDUG LWV H\H FDUH SURJUDPPHV LQFOXGLQJ UHVHDUFK DQG FDSDFLW\ EXLOGLQJ IRU WKH EHQHÀW RI PLOOLRQVThe organisation sincerely values all support from its friends and well-wishers for their contribution towards itsmission of eliminating needless blindness.For service delivery, training and more For research- Acumen, USA - Alagappa University, Karaikudi- Alcon Laboratories Inc, USA - All India Institute of Medical Sciences, New Delhi,- Bloomberg School of Public Health, Johns Hopkins India University, US - Aravind Eye Foundation, USA- Canadian International Development Agency, &RXQFLO RI 6FLHQWLÀF DQG ,QGXVWULDO 5HVHDUFK 1HZ Canada Delhi, India- Carl Zeiss Meditec, Germany - Delhi Institute of Pharmaceutical Sciences and- CBM International, Germany- Centre for Innovation in Public Systems, Hyderabad, Research (DIPSAR), New Delhi - Department of Biotechnology, New Delhi, India India - Department of Science and Technology, New Delhi,- Combat Blindness Foundation, USA- Essilor, India India- Fred Hollows Foundation, Australia - Francis I. Proctor Foundation for Research in- Hilton Foundation, USA- Indian Institute of Management, Bangalore, India Ophthalmology, UCSF, USA- International Federation of Eye Banks, USA - Indian Council of Medical Research, New Delhi,- Indian Overseas Bank, Chennai, Madurai- International Agency for Prevention of Blindness India- International Council for Ophthalmology, London - Indian Institute of Technology, Chennai- Lavelle Fund for the Blind, USA - London School of Hygiene and Tropical Medicine,- Lions Clubs International Foundation, USA- London School of Hygiene & Tropical Medicine UK- Narotam Sekhsaria Foundation, Mumbai - Madurai Kamaraj University, Madurai, India- ORBIS International, USA - National Eye Institute, USA- Rotary International, USA - North Eastern Hill University, Shillong, India- Schwab Foundation and Social Entrepreneurship, - Sastra University, Thanjavur - Singapore National Eye Centre, Singapore Switzerland - Sichuan Academy of Medical Sciences & Sichuan- Seva Foundation, USA- Seva Service Society, Canada provincial peoples Hospital, Sichuan, China- SightLife, USA - Sri Ramachandra University, Chennai- SightSavers, UK - Science and Engineering Research Board, New Delhi,- State Bank of India, Madurai- Standard Chartered Bank, UK India- SoHum Foundation, US - Subroto Bagchi grant, Bangalore- Topcon, Japan - Tamil Nadu Dr. M.G.R. Medical University,- University of Michigan, USA- University of California, Berkeley Chennai, India- USAID - University of Liverpool, Liverpool, UK- VISION 2020 - The Right to Sight, India - University of Pennsylvania, Philadelphia, USA- Wescott Williams Ltd., UK - University of Tasmania, Australia- World Diabetes Foundation, Denmark - University of Wisconsin, Madison, USA- World Health Organization (WHO), Geneva, - Vision Research Foundation, Sankara Nethralaya, Switzerland Chennai- XOVA: Excellence in Ophthalmology Vision Award - Wellcome Trust, UK - World Health Organization, Switzerland86
ARAVIND EYE FOUNDATIONAravind Eye Foundation helps promote sustainable,high quality, patient-centric eye care across theworld by facilitating knowledge exchange and activepartnerships with higher education, social enterprise,KHDOWK FDUH JRYHUQPHQW DQG QRQSURÀW RUJDQLVDWLRQVThe Foundation also provides funding to thoseprogrammes of the Aravind Eye Care System, which arenot self-sustaining by Aravind’s core operations.Spectacles for Scholars Child suffering from retinnoblastomaAravind’s highly successful Spectacles for Scholars Ring of Hopeprogramme continues to grow. The past year, Aravind 5HWLQREODVWRPD LV D GLVÀJXULQJ RIWHQ IDWDO H\H FDQFHUEye Foundation funded school screening projects in, primarily affecting children under 5 years old. A fullMadurai, Coimbatore, Salem, Tirunelveli and Theni; cycle of treatment costs more than $1000, which is well19,090 children have been seen by the medical teams and beyond the budget of the typical Indian family.4,934 glasses have been dispensed. The Ring of Hope Fund pays for complete treatment The program helps children like Rajameenakshi - diagnosis, surgery, chemotherapy, radiation, custom-and her friends. Rajameenakshi attends a government made prostheses, family counselling and transportationschool, not far from the famous Meenakshi Amman for all follow-up appointments. This year 32 newtemple. She’s nine years old and wants to be an engineer. patients and 365 follow-up patients were treatedShe works hard in school to get good grades. But she completely free of charge. Since 2004, more than 4,000started having trouble with her schoolwork, because patient visits have been funded by the Ring of Hope.she couldn’t see the blackboard. Aravind’s Spectacles for Scholars team came to herschool and tested the students’ eyesight about fourpercent of the class needed eyeglasses. Rajameenakshi isEDFN RQ WUDFN WR IXOÀO KHU GUHDPV Aravind Eye Foundation is expanding the Spectaclefor Scholars programme to screen half a million childrenannually by 2020, and extend the programme to allAravind Eye Hospitals.A student being provided with spectacles at a school children Scene from a school children screening campscreening camp 87
DNA isolation from blood of a retinoblastoma patient for genetic Ms. Donna Campbell and Mr. Mohammed Gowth at AEF -screening of RB1 gene supported Patthamadai Vision CentreResearch 3DWLHQW EHLQJ H[DPLQHG DW 7LUXFKXOL 9LVLRQ &HQWUHIn the United States, 90% of the children recover fromretinoblastoma - a virulent form of eye cancer; in India,90% of children die because diagnosis and treatmentcome too late. Genetics play a major role in determiningwho develops retinoblastoma and genetic testing canKHOS LGHQWLI\ SDWLHQWV ZKR DUH OLNHO\ WR EH DIÁLFWHG ZLWKthis terrible disease. But genetic testing is extremely expensive - nearly$1500 per test, and all family members must be tested.With the support of the Allene Reuss Memorial Trust,the SoHum Foundation and many individual donors,$UDYLQG KDV HVWDEOLVKHG $VLD·V ÀUVW JHQHWLF WHVWLQJ ODEfor retinoblastoma. The cost per test will be $200 andthe time to test greatly reduced, saving the lives andsight of many more children.Rural Vision Centres Capacity BuildingThe World Health Organization calls Rural Vision Aravind’s impact extends far beyond its own hospitalsCentres “an innovation that democratises health care”. and Vision Centres. Aravind’s Health care consultingBy 2020, Aravind plans to open 150 centres, and provide group, LAICO, has consulted with more than 300access to eye care 10 million people. hospitals in the developing world to help them increase PDUNHW GHPDQG TXDOLW\ RI SDWLHQW FDUH DQG HIÀFLHQF\ With support from the SoHum Foundation, ProofEyewear, the Liane Ginsberg Foundation, Anne and Lavelle Fund for the Blind has awarded a four-year-Julie Kelly, and many individual donors, the foundation grant of nearly $1 Million for capacity building with 25has funded eleven centres - all are on track to be self- hospitals across India and neighbouring countries. Thissustaining after two years. Last year, these centres saw grant will support training, IT development, outreach68,900 patients; 3,800 of those patients were referred for and a seed grant to the individual hospitals.cataract surgery and 10,200 patients ordered glasses.88
GOVEL TRUST ARAVIND EYE CARE SYSTEMBoard of Trustees Chairman &President Director - QualityER. G. SRINIVASAN DR. R.D. RAVINDRAN, MS., DOTrust Secretary Chairman Emeritus &DR. N. VENKATESH PRAJNA Director - ResearchMembers DR. P. NAMPERUMALSAMY, MS, FAMSDR. G. NALLAKRISHNAN Directors EmeritusDR. P. NAMPERUMALSAMY DR. G. NATCHIAR, MS, DOMRS. LALITHA SRINIVASAN DR. M. SRINIVASAN, MS, DODR. G. NATCHIARDR. R. KIM CENTRAL FUNCTIONS INFORMATION TECHNOLOGYDR. S. ARAVIND DirectorPRESIDENT, ROTARY CLUB, FINANCE DR. R. KIM, DO, DNBMADURAI Director Senior ManagerMAIN BRANCH - (EX–OFFICIO) ER. G. SRINIVASAN, BE, MS B.S. GANESH BABU, M.COM, MS Manager Senior Network Administrator N. SHANMUGASUNDARAM, B.COM S.J. RAJAN, MCA Manager – Web Applications OPERATIONS S. SANTHA SUBBULAKSHMI, MCA, MBA, MLIS Director Manager R.D. THULASIRAJ, MBA R. MALA, MCA HUMAN RESOURCES ARAVIND COMMUNICATIONS Director CHITRA THULASIRAJ, B.SC DR. S.R. KRISHNADAS, DO, DNB Managers PURCHASE & MAINTENANCE R. DEEPA, MHM S. JAYACHANDRAN, MHM C. GNANASEKARAN, MBA OUTREACH ACADEMICS Senior Manager Director - Residency Training R. MEENAKSHI SUNDARAM, MHM DR. N. VENKATESH PRAJNA, DO, DNB, BIOSTATISTICS FRCOphth B. VIJAYAKUMAR, M.SC Director - Mid Level Ophthalmic LIBRARY & INFORMATION Personnel CENTRE DR. USHA KIM, DO, DNB R. KUMARAGURUPARI, MA, M.LI.SC, M.Phil PROJECTS Director DR. S. ARAVIND, MS, MBA 89
ARAVIND EYE HOSPITALS & POSTGRADUATE INSTITUTE OF OPHTHALMOLOGYRun by Govel TrustARAVIND - MADURAI CORNEA & REFRACTIVE UVEA SERVICES SURGERY SERVICES &KLHI 3URIHVVRU&KLHI 0HGLFDO 2IÀFHU 3URIHVVRU DR. S.R. RATHINAM, DO, DNB, Ph.DDR. R. KIM, DO, DNB &KLHI 3URIHVVRU Assistant Professor DR. N. VENKATESH PRAJNA, DO, DNB, DR. T. RADHIKA, DNB$GPLQLVWUDWRU 3URIHVVRUDR. S. ARAVIND, MS, MBA FRCOPHTH.. ORBIT, OCULOPLASTY AND OCULAR ONCOLOGY SERVICESRETINA-VITREOUS SERVICES 'LUHFWRU (PHULWXV 3URIHVVRU &KLHI 3URIHVVRU DR. M. SRINIVASAN, MS, DO DR. USHA KIM, DO, DNB&KLHI 3URIHVVRU Professor TutorDR. R. KIM, DO, DNB DR. MANORANJAN DAS, DNB DR. NAMRATA GAIKWAD, MS Assistant ProfessorsProfessors DR. GAHILOD SHAILENDRA, DNB NEURO-OPHTHALMOLOGYDR. P. NAMPERUMALSAMY, MS, FAMS DR. SAKET PATIL SURENDRA, DNB SERVICESDR. ANAND RAJENDRAN, DO, DNB, FRCS (G) Tutors &KLHI 3URIHVVRUDR. K. NARESH BABU, MS (G) DR. HEMALATHA GUDISEVA, MS DR. MAHESH KUMAR, DO, DNB DR. ARUNKUMAR PANIGRAHI, MS ProfessorAssistant Professors Medical Consultant DR. G. NATCHIAR, MS, DODR. MANISH TANDON, DNB DR. MOHAMED FAIZAL, DO Associate ProfessorDR. JATINDER SINGH, MS DR. A. KOWSALYA, DO, DNBDR. PUJA BHUWANIA, DNB PAEDIATRIC OPHTHALMOLOGY & ADULT STRABISMUS SERVICES VISION REHABILITATION CENTRETutors ProfessorDR. RENU P RAJAN, MD &KLHI 3URIHVVRU DR. ILANGO, DO, DNBDR. KARTHIK KUMAR, MS DR. SHASHIKANT SHETTY, MSDR. RAVIKIRAN NEELA, MS Professor MICROBIOLOGISTDR. NAVAKANTH BANDI, MS DR. P. VIJAYALAKSHMI, MS DR. S. LALITHA PRAJNA, MD, DNBDR. RAVULA MEHER TEJ, MS Assistant Professors DR. VRUSHALAI PATIL, DNB ANAESTHETISTINTRAOCULAR LENS & DR. SATHYA T RAVILLA, MS DR. A. RAVICHANDAR, MD, DACATARACT SERVICES DR. A.S. JAMUNA, DO, DNB Medical Consultant PHYSICIANS&KLHI 3URIHVVRU DR. A. RUPA, DO DR. BANUSHREE, MDDR. G. HARIPRIYA ARAVIND, MS DR. NAVEEN, MS GLAUCOMA SERVICESProfessors FREE HOSPITALDR. G. NATCHIAR, MS, DO &KLHI 3URIHVVRU Medical ConsultantDR. S. ARAVIND, MS, MBA DR. GEORGE VARGHESE PUTHURAN, MS DR. V.P. RAVICHANDRAN, DODR. K. ILANGO, DO, DNB 'LUHFWRU+5' 3URIHVVRU Assistant Administrator DR. S.R. KRISHNADAS, DO., DNB R. RAMESH BABU, M.AAssistant Professors ProfessorsDR. NIRAJ KUMAR AGARWAL, MS DR. MANJU R PILLAI, DO, DNB NURSINGDR. MADHU SHEKHAR, MS DR. R. SHARMILA, DNB S. KRISHNAVENIDR. TANPREET PAL SINGH, MS Associate Professor Nursing SuperintendentsDR. V.R.VIVEKANANDAN, MS DR. H. KASTHURI BAI, DO, DNB B. DHAGIRNISA BEGUM Assistant Professors R. JEEVATutors DR. NEETHU MOHAN, MS Staff - TutorDR. PREETHIKA GANDHI, MS DR. P.S. VIVEK, DO, DNB ALEES MARY, R.N.R.MDR. ARUNA PAI, MS Medical Consultant Staff - Theatre DR. S. VIDYA, DO ALIKUTTY VARGEESE, R.N.R.MMedical ConsultantDR. PAMONA SAMSON, DODR. K.N. JAYASRI, DODR. G. VEDHANAYAKI, DODR. DEEBA ISHRATH, DODR. ASHWIN B., DODR. GOMATHI RAMYA, DO90
ADMINISTRATION ARAVIND - TIRUNELVELI NEURO-OPHTHALMOLOGY SERVICES7UDQVSRUW 3XEOLF 5HODWLRQV 2IÀFHU &KLHI 0HGLFDO 2IÀFHU 3URIHVVRUS.G. RAMANATHAN, M.A DR. R. RAMAKRISHNAN, MS, DO &KLHI 3URIHVVRU 'HSXW\ &KLHI 0HGLFDO 2IÀFHU DR. S. PADMAVATHY, MS0DQDJHU 2IÀFH DR. R. MEENAKSHI, DO, DNB Consultant AnesthetistK.S. KANDASAMY, B.A DR. S. NAVANEETHA KRISHNAN, MBBS, D.A RETINA - VITREOUS SERVICES$FFRXQWV 2IÀFHU &KLHI $VVLVWDQW 3URIHVVRU GENERAL OPHTHALMOLOGYR. RETHINASABAPATHY, B.A DR. VENUGOPAL REDDY, Y.C. SERVICES Assistant ProfessorManager - Accounts DR. KARTHIK SRINIVASAN, MS ProfessorR. VELUMANI, B.COM, (BA) DR. SYED MOHIDEEN ABDUL KHADAR, DR. S. PADMAVATHY, MS Assistant ProfessorsManager - Stores MS DR. S. RADHIKA, MSJ. SHOBHA, MCA DR. M. SHERIN HAROON, MS DR. H. S. VISHWANATH, DO, DNB DR. M. DIVYA, MSManager - Personnel DR. K. ABISHEK, DO, DNBA. VENKATACHALAM, B.Sc INTRAOCULAR LENS & DR. HARSHAL .S. RATHI, DO, DNB CATARACT SERVICES DR. AMY MOHAN, DO, DNBManager - IT & Systems &KLHI $VVRFLDWH 3URIHVVRUS. RAAJKUMAR, M.Sc, DCA DR. SHIVAKUMAR CHANDRASHEKAR, MS LOW VISION CLINIC Assistant ProfessorManager - Inpatients DR. A. FATHIMA, MS Assistant ProfessorS. SUNYTHA, MSW, MBA, DLL DR. M. SHERIN HAROON, MS DR. NEELAM PAWAR, MSManager - Quality Assurance CORNEA & REFRACTIVE FREE HOSPITALUSHALINI, MBA SURGERY SERVICES &KLHI $VVLVWDQW 3URIHVVRU ProfessorManager - Retina Vitreous Services DR. V. ANITHA, DNB DR. SAKTHIVEL, MSA. SHOBANA, B.Sc, PGDHM Manager PAEDIATRIC OPHTHALMOLOGY S. BALAKRISHNANManager - Glaucoma Services & ADULT STRABISMUS SERVICESDAMIEN JACOB, MBA &KLHI 3URIHVVRU NURSING DR. R. MEENAKSHI, DO, DNBARAVIND - THENI Assistant Professor Nursing Superintendents DR. A. FATHIMA, MS M.N. CHIDHAMBARAM&KLHI 0HGLFDO 2IÀFHU 3URIHVVRU DR. NEELAM PAWAR, MS V. ARUMUGAMDR. DIPANKAR DATTA, DO, DNB, MNAMS, GLAUCOMA SERVICES ADMINISTRATION &KLHI 3URIHVVRU 0DQDJHU 2IÀFH 2XWUHDFK (OPH) DR. MOHIDEEN ABDUL KADER, DNB P. NAVANEETHA KRISHNAN &KLHI &RQVXOWDQW 3URIHVVRU 3XEOLF 5HODWLRQV 2IÀFHU0HGLFDO 2IÀFHU DR. R. RAMAKRISHNAN, MS, DO M. MAHADEVAN Assistant Professor Manager - Human ResourceDR. ASHOK VARDHAN, DO, DNB DR. DEVENDRA MAHESHWARI, MS LAKSHMI. R, MBA DR. K. RAVICHANDRA, MS Manager - Inpatient ServicesMedical Consultant DR. K. PRAVEENA, MS M. VIKKY KUMAR, MBA Manager - Glaucoma ClinicDR. ASHWIN BALASUBRAMANIAN, DO ORBIT, OCULOPLASTY AND RANITHA GUNASELVI, BPT, MBA OCULAR ONCOLOGY SERVICES Manager - IT & SystemsDR. MITUN ADITH, MS &KLHI 3URIHVVRU P. THIRUVENGADAM, MA, PGDCA DR. V. MANEKSHA, MS LibrarianDR. G.S. PRAVEEN KUMAR, MS E. PERUMALSAMY, M.LI.SC MicrobiologistDR. ASHIS GHOSH, MS G. RAMESH KUMAR, M.SCDR. INDIRADURAI, DNBDR. PURUSHOTHAMA RAJKUMAR, MSADMINISTRATIONMANAGER - VISION CENTRER. BALASIVA, BA MSWManager - Patient careK. KALAIVENDANNURSINGNursing SuperintendentR. SEENIAMMAL 91
ARAVIND – COIMBATORE Assistant Professors ADMINISTRATION DR. P. MANGALA, DNB Manager - General&KLHI 0HGLFDO 2IÀFHU 3URIHVVRU DR. PRABHU, MS M. RANJITHKUMAR, B.Sc, PGDHMDR. V. NARENDRAN, DO, DNB Tutors Manager - Administration DR. PRAVIN SAMBANDAM, MS S. SANGEETHA, MHARETINA – VITREOUS SERVICES DR. VAIDEE VIKRAM, MS Manager - HR DR. ASHIMA GROVER, MS R. UMAPRIYA, MA, PTSTA&KLHI 3URIHVVRU DR. SOLY SOMAPALAN, MS Manager - MaintenanceDR. V. NARENDRAN, DO, DNB DR. SUSHMA POOJARI, MS K.M. SENNIAPPAN, B.Sc, B.TECHProfessors DR. SANKIT SHAH, MS Manager - OutreachDR. RODNEY JOHN MORRIS, MS M. MURUGARAJU, MADR. V.R. SARAVANAN, DO, DNB PAEDIATRIC OPHTHALMOLOGY Manager - PersonelDR. PARAG K SHAH, DNB & STRABISMUS SERVICES R. JEBADURAI, BA, PGDPMReader &KLHI 3URIHVVRU Manager - TransportDR. GEORGE MANAYATH, MS, FRCS DR. KALPANA NARENDRAN, DO, DNB D. KARTHIKEYAN, DIP, COPAssistant Professors Associate Professor Civil EngineerDR. UPENDRA BABU, MS DR. C. SANDRA, DO, DNB S. GANAPATHY, DCEDR.SAURABH ARORA, DNB Tutor Electrical EngineerTutors DR. SASIKALA ELIZABETH, DNB A.M. APPUSAMY, DEEDR. KARAN ANNAPUR KUMARASAMY, MS Manager - IT SystemsDR. PALMEERA D SOUZA, DO, DNB GLAUCOMA SERVICES S. THIRUNAVUKKARASU, B.ScDR. UDAYASREE, MS &KLHI $VVRFLDWH 3URIHVVRU Manager - OpticalsDR. VAIBHAV SHAH, DNB DR. GANESH V RAMAN, MS M. MURUGESAN, B.COM Assistant ProfessorINTRAOCULAR LENS & DR. LIPI CHAKRABARTHY, DNB ARAVIND – PONDICHERRYCATARACT SERVICES DR. ROHAN DANIEL, DO, DNB Tutor &KLHI 0HGLFDO 2IÀFHU 3URIHVVRU&KLHI 3URIHVVRU DR. PREMANAND, MS DR. R. VENKATESH, DO, DNBDR. KALPANA NARENDRAN, DO, DNB DR. MRUNALI MOHAN, MSProfessor RETINA-VITREOUS SERVICESDR. KAVITHA YUVARAJAN, DO DNB UVEA SERVICES &KLHI $VVLVWDQW 3URIHVVRUAssistant Professor &KLHI $VVLVWDQW 3URIHVVRU DR. PANKAJA DHOBLE, MSDR. S. GUHAPRIYA, DNB DR. V.K. ANURADHA, MD, FRCS TutorDR. VISHNU POUNRAJ, MS DR. MANAVI D. SINDAL, MSDR. MUMDHAJ, DNB ORBIT, OCULOPLASTY AND 0HGLFDO 2IÀFHUVDR. ANITA MOHANAN, MS OCULAR ONCOLOGY SERVICES DR. SABYASACHI SENGUPTA, DO, DNBTutors &KLHI 0HGLFDO 2IÀFHU DR. PRABU BASKARAN, MS, DNBDR. GOPINATHAN, MS DR. VIJI RANGARAJAN, DO DR. INDU GOVINDARAJ MSDR. VIVEKANAND, MSDR. ARJUN, DNB NEURO – OPHTHALMOLOGY INTRAOCULAR LENS &0HGLFDO 2IÀFHUV SERVICES CATARACT SERVICESDR. SHOBA CHINNAN, DO &KLHI 0HGLFDO 2IÀFHU 0HGLFDO 2IÀFHUDR. DHANALAKSHMI, DO DR. VIRNA SHAH, DO DR. MANAS NATH, DO DR. PRASANTH GIREESH, MSCORNEA & REFRACTIVE NURSINGSURGERY SERVICES Nursing Superintendent S. SULOCHANA&KLHI 3URIHVVRU Assistant Nursing SuperintendentDR. R. REVATHI, MS R. RADHIKAAssociate ProfessorDR. ANITA RAGHAVAN, DO, FRCS (G)92
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